Mucocutaneous disease: a child with extrapulmonary manifestation of mycoplasma infection.

IF 0.9 Q2 MEDICINE, GENERAL & INTERNAL
Einstein-Sao Paulo Pub Date : 2025-06-13 eCollection Date: 2025-01-01 DOI:10.31744/einstein_journal/2025RC1138
Kelly Regina Pereira da Silva, Rafaela Sardini Covello Giaccio, Bárbara Martins de Aquino, Marina Abellan Van Moorsel, Fernanda Mazziero Pires, Carolina Maria Hélène, Selma Maria Furman Hélène
{"title":"Mucocutaneous disease: a child with extrapulmonary manifestation of mycoplasma infection.","authors":"Kelly Regina Pereira da Silva, Rafaela Sardini Covello Giaccio, Bárbara Martins de Aquino, Marina Abellan Van Moorsel, Fernanda Mazziero Pires, Carolina Maria Hélène, Selma Maria Furman Hélène","doi":"10.31744/einstein_journal/2025RC1138","DOIUrl":null,"url":null,"abstract":"<p><p>Mycoplasma-induced rash and mucositis is a distinctive subset of reactive infectious mucocutaneous eruption identified in 2015 to differentiate it from other mucocutaneous disorders such as Stevens-Johnson syndrome, erythema multiforme major, and toxic epidermal necrolysis. Although its pathophysiology is not completely understood, Mycoplasma-induced rash and mucositis is characterized by polyclonal B cell proliferation, production of antibodies against Mycoplasma pneumoniae, subsequent immune complex deposition, and keratinocyte apoptosis. Clinical manifestations include scattered cutaneous lesions and severe mucositis, which predominantly affect children and young males. In this report, we present the case of a 4-year-old boy with characteristic Mycoplasma-induced rash and mucositis symptoms, including erythematous annular lesions, mucosal involvement, and positive serologies for Mycoplasma pneumoniae and herpes simplex. The diagnostic challenges, treatment modalities, and differential diagnosis of erythema multiforme major are discussed. Our case underscores the importance of recognizing Mycoplasma-induced rash and mucositis as a distinct entity, facilitating accurate diagnosis and tailoring management strategies to optimize patient outcomes.</p>","PeriodicalId":47359,"journal":{"name":"Einstein-Sao Paulo","volume":"23 ","pages":"eRC1138"},"PeriodicalIF":0.9000,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12176330/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Einstein-Sao Paulo","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.31744/einstein_journal/2025RC1138","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0

Abstract

Mycoplasma-induced rash and mucositis is a distinctive subset of reactive infectious mucocutaneous eruption identified in 2015 to differentiate it from other mucocutaneous disorders such as Stevens-Johnson syndrome, erythema multiforme major, and toxic epidermal necrolysis. Although its pathophysiology is not completely understood, Mycoplasma-induced rash and mucositis is characterized by polyclonal B cell proliferation, production of antibodies against Mycoplasma pneumoniae, subsequent immune complex deposition, and keratinocyte apoptosis. Clinical manifestations include scattered cutaneous lesions and severe mucositis, which predominantly affect children and young males. In this report, we present the case of a 4-year-old boy with characteristic Mycoplasma-induced rash and mucositis symptoms, including erythematous annular lesions, mucosal involvement, and positive serologies for Mycoplasma pneumoniae and herpes simplex. The diagnostic challenges, treatment modalities, and differential diagnosis of erythema multiforme major are discussed. Our case underscores the importance of recognizing Mycoplasma-induced rash and mucositis as a distinct entity, facilitating accurate diagnosis and tailoring management strategies to optimize patient outcomes.

皮肤粘膜疾病:1例患儿肺外表现为支原体感染。
支原体引起的皮疹和粘膜炎是2015年发现的反应性感染性粘膜皮肤疹的一个独特亚群,以区别于其他粘膜皮肤疾病,如Stevens-Johnson综合征、大多形性红斑和中毒性表皮坏死松解。尽管其病理生理机制尚不完全清楚,但支原体诱导的皮疹和粘膜炎的特征是多克隆B细胞增殖、抗肺炎支原体抗体的产生、随后的免疫复合物沉积和角化细胞凋亡。临床表现为分散的皮肤病变和严重的粘膜炎,主要影响儿童和年轻男性。在这篇报告中,我们报告了一个4岁男孩的病例,他有典型的支原体引起的皮疹和粘膜炎症状,包括红斑性环状病变,粘膜受累,肺炎支原体和单纯疱疹血清学阳性。本文讨论了多形性红斑的诊断挑战、治疗方式和鉴别诊断。我们的病例强调了将支原体引起的皮疹和粘膜炎视为一种独特的实体的重要性,有助于准确诊断和定制管理策略,以优化患者的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Einstein-Sao Paulo
Einstein-Sao Paulo MEDICINE, GENERAL & INTERNAL-
CiteScore
2.00
自引率
0.00%
发文量
210
审稿时长
38 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信