Fuchs Syndrome: Uncommon or Under Diagnosed?

Abstract

Stevens–Johnson syndrome (SJS) with mucosal involvement without any skin lesions has been described as Fuchs syndrome. This pure mucosal variant of SJS has been described more frequently in children and adolescents than adults. Most of the cases are triggered by infections commonly due to herpes simplex and Mycoplasma pneumoniae. Mucosal lesions predominate; however, ocular and genital lesions are often present. In this case report, we present a successfully managed rare case of a 25-year-old male who was diagnosed with M. pneumoniae-upper respiratory tract infection associated with Fuchs syndrome. In the absence of a high index of suspicion, the correct diagnosis is often missed, and appropriate therapy is delayed.