Paeds Spot Diagnosis Quiz: part 2

OK, this is it – part 2 of the Paeds Quiz.

Hope you enjoyed the first one – this carries straight on from where we left off.

In case you missed part 1 – here it is

Part 3 will be out later in the week – so get your thinking hats on!  Try not to make any rash decisions (Hehehehehehhe)  I use that joke EVERY time one of the JMOs asks me to have a look at a rash.

Never gets old!



  1. Bilguis says

    I read that Erythema multiform is considered separate to SJS and TEN. Previously, the condition
    was thought to be part of a clinical spectrum of disease that included erythema
    minor, erythema major (often equated with Stevens-Johnson syndrome [SJS]), and toxic
    epidermal necrolysis (TEN), with erythema minor being the most mild and TEN the
    most severe. An often-cited study from1993 proposed a useful clinical classification
    of erythema multiforme, SJS, and TEN based on the pattern of individual skin lesions and
    the estimation of body surface area with detachment of the epidermis (i.e., blisters,
    denuded areas, or erosions) at the worst stage of the disease. Although
    SJS and TEN may represent the same process with differing severity, erythema multiforme,
    with its minimal mucous membrane involvement and less than 10 percent epidermal
    detachment, now is accepted as a distinct condition.(Erythema Multiforme MICHELE R. LAMOREUX, M.D., MARNA R. STERNBACH, M.D.,and W. TERESA HSU, M.D., PH.D., Drexel University College of Medicine, Philadelphia, Pennsylvania).

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