A 60-year old patient presented with several bullous lesions for the last 3 days; each bulk was surrounded by an erythematous halo. There were multiple target lesions. The patient also had oral erosions. The most likely diagnosis is –
High-Yield Explanation
This patient has :-
i) Target lesion
ii) Mucosal involvement (oral erosion)
It has already been explained that erythema multiforme syndrome has two subtypes -
Erythema multiform
Steven - Johnson syndrome - toxic epidermal necrolysis complex (SJS - TEN complex)
Mucosal involvement (oral lesions) is common in SJS - TEN complex, whereas it is uncommon in erythema multiforme (in less than 20% of patients).
So, amongst the given options answer is Steven - Johnson syndrome.