An Unusual Skin Manifestation by Mycoplasma Pneumoniae without Pulmonary Infection
Journal Title:Journal of Dermatology Research
Pulmonary infections are often caused by Mycoplasma pneumoniae. However, extra pulmonary manifestations are also reported. Mycoplasma pneumonia associated severe mucositis with relative few skin rash has recently been described as a new clinical disease named Mycoplasma Pneumoniae-Induced Rash and Mucositis (MIRM). A 14-year-old girl who developed exuberant mucositis, as well as multiple tense bullae and several targetoid lesions were found on the face, trunk and 4 limbs, but no obvious pulmonary manifestation was found. The laboratory examinations showed elevated M. pneumoniae IgM antibodies. Due to this unique clinical presentation, MIRM was considered and differentiated from Toxic Epidermal Necrolysis (TEN), Stevens-Johnson Syndrome (SJS), or Erythema Multiforme (EM). MIRM may be reconsidered as a specific cutaneous manifestation with or without pulmonary infection.