Over the years many amazing cases have been presented during the PEMPix presentation at the American Academy of Pediatrics’ annual national Conference and Exhibition during the Section on Emergency Medicine Sessions. PEMPix Classic is a new featured series on PEMBlog that will highlight some of those classic cases.
An 10 year old boy presents with mouth sores that have been present, and worsening for two to three weeks. They have become painful and he reports difficulty swallowing his saliva and now fluids. It started on his lips and now involves the tongue and throat.
He denies fevers, or other recent illnesses. He reports multiple recurrent episodes of mouth sores over the past one to two years, but none as extensive as today. He has been using an over the counter topical antibiotic to no avail. He denies any history of genital lesions or other skin lesions.
family history is negative for similar problems. There are no noteworthy relatives with autoimmune disease, Rheumatologic problems, or connective tissue disease.
What is the diagnosis?
A. Behçet Syndrome
B. Crohn’s Disease
C. Stevens-Johnson Syndrome
D. Systemic Lupus Erythematosus
E. Recurrent Herpes Labialis