(BMJ)—This patient presented with a 2-day hx of fever, headache, and new lesions on the hands, neck, and face. She had a background of systemic lupus erythematosus (SLE), for which she had been taking corticosteroids, azathioprine, and hydroxychloroquine for 2 years but was taking no other meds. Exam: erythematous, annular, target-like papuloplaques on the hands, face, and neck with lip ulcers. Serological tests for mycoplasma, HSV, cytomegalovirus, and EBV were negative. What’s the dx?
Stevens-Johnson syndrome
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toxic epidermal necrolysis
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erythema multiforme
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Rowell syndrome
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