Stevens Johnson syndrome without skin lesions

1 Children's Hospital, University of Wuerzburg, Wuerzburg, Germany 2 Institute of Hygiene and Microbiology, University of Wuerzburg, Wuerzburg, Germany Correspondence K. Latsch latsch_K{at}kinderklinik.uni-wuerzburg.de Received 29 March 2007 Accepted 10 August 2007 In childhood, Mycoplasma pneumoniae infections usually present as respiratory tract disease. However, extrapulmonary manifestations can be severe but the association with M. pneumoniae might not be considered. Here two adolescents who presented with severe exudative and ulcerative stomatitis accompanied by conjunctivitis and genital erosions are reported on. The skin was unaffected. The diagnosis of an acute M. pneumoniae infection was confirmed by serology and PCR. There are only few reports about this clinical entity and its nomenclature is inconsistent. The denomination ‘incomplete Stevens–Johnson syndrome’ has been suggested. Abbreviations: ESR, erythrocyte sedimentation rate; MAG, microparticle agglutination assay; SJS, Stevens–Johnson syndrome. These authors contributed equally to this work.