Stevens-Johnson Syndrome vs. Behcet's Disease, Abortive. Presented by Dr. Kurt Lindstrom.
Location—right medial eyelids. Duration—two weeks.Since 1948 this 39-year-old patient has had conjunctivitis of the right eye seven times, always beginning in February or March. Between 1948 and 1958 he had conjunctivitis (without skin involvement or ulceration) four times.About February, 1958, and again February, 1959, he developed conjunctivitis with painful corneal ulcers, along with vesicles and ulcers of the right eyelids, lasting about three months both times. The ophthalmologist who treated him in 1959 reports that he had a dendritic corneal ulcer, consistent with Stevens-Johnson's syndrome but not with herpes simplex. No iridocyclitis was noted at that time.On Feb. 5, 1960, patient's right eye again became injected and painful; he was seen by an ophthalmologist, who found a mild iridocyclitis, prescribed a corticosteroid by mouth (taken until Feb. 18), which vastly improved the bulbar involvement.However, on