Mucositis, Conjunctivitis but no rash – The “Atypical Stevens –Johnson syndrome”

Abstract

The Stevens-Johnson syndrome (SJS) classically involves a rash, conjunctivitis and mucositis. We describe the case of a young adult male with isolated mucositis and conjunctivitis . Previous rare reports of severe SJS like syndromes without a rash are confined to children, usually with mycoplasma pnemoniae infection.1 Terminology for this syndrome includes – “Stevens-Johnson Syndrome without skin lesions”, or “Atypical Stevens – Johnson Syndrome”.2 This case highlights the importance of maintaining an open mind when a “full house” of clinical features is absent. It also illustrates the use of a rapid electronic literature review as a clinical tool. The importance of updating records when a drug has been cleared of causing harm is highlighted.