Abstract

Stevens Johnson syndrome is an acute self limited disease presenting with  severe mucosal erosions with widespread erythematous, cutaneous macules or atypical targets .The  majority of cases are drug induced affecting oral and perioral region.

A 3 year old male child presented with chief complaints of fever, cough, cold , breathlessness and extensive rashes on the skin of face , oral mucosa, neck, abdomen, erythema of conjunctiva , ulceration of eyelid and oral cavity. The reaction was evoked after consumption of tab oxcarbamezapine   since 10  days . He was treated with corticosteroids   , antimicrobial drugs and oral topical anesthetic agents. Health care providers must be careful regarding the adverse effects of drugs especially the allergic manifestations like anaphylaxis and  Steven Johnson syndrome which are potentially fatal conditions. The most commonly and widely prescribed drug regimens should also be used judiciously and continuously monitored to prevent such a fatal adverse drug reaction.