Rime medical abbreviation

RIME is characterized by prominent mucositis, usually with sparse or even absent cutaneous involvement. This topic will discuss the pathogenesis, clinical manifestations, diagnosis, and treatment of RIME. Based on the subsequent observation that other bacterial and viral respiratory infections can cause a mucocutaneous reaction in children, it has been proposed that MIRM should be included in a broader category called "reactive infectious mucocutaneous eruption" RIME, rime medical abbreviation.

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Rime medical abbreviation

Federal government websites often end in. The site is secure. Reactive infectious mucocutaneous eruption RIME is a recently proposed term used to describe cases of postinfectious rash and mucositis. This entity was previously termed mycoplasma-induced rash and mucositis MIRM ; however, numerous cases have been described with non M ycoplasma pneumoniae -associated causes. These patients are typically adolescents and have a prodromal cough followed by severe mucositis of 2 or more mucous membranes, with or without a cutaneous rash. He was initially treated at home with ibuprofen. Seven days later, he was presented to the emergency department with pharyngitis and painful oropharyngeal lesions. He was treated symptomatically with mouthwash containing lidocaine and oral nonsteroidal anti-inflammatory medications and discharged. During the next 2 days, he experienced worsening pharyngeal exudate, odynophagia, muffled voice, cervical edema, and fever and presented again to the emergency department. Physical examination revealed mucosal sloughing on the labial surfaces of the lips, tonsillar pillars, and hard and soft palate Fig 1 , A. Ocular discharge without conjunctival injection was noted. There were no cutaneous signs or symptoms.

Make sure your contact info is up to date in our directory. Stevens-Johnson syndrome and toxic epidermal necrolysis are severity variants of the same disease which differs from erythema multiforme, rime medical abbreviation.

The RIME framework provides terminology for describing the professional growth of medical students. It is used in many clerkships across the country. Students can use it to monitor their own progress and residents and faculty can use it to monitor student progress and to provide appropriate feedback. The progression of student development during the clinical years is probably best conceptualized by the RIME framework. As students grow in knowledge, skills and attitudes, they generally progress through four stages: Reporter, Interpreter, Manager and Educator. Each stage requires an integration of knowledge, skills and attitudes.

This is a new term defined by Dr. Second, skin lesions might be absent entirely or there may be sparse vesicular bullous or targetoid skin lesions. Third, patients have evidence of an infectious trigger. Fourth, the patient has not taken a medicine that could have caused the eruption. Terms that dermatologists are familiar with, including erythema multiforme EM major, Stevens-Johnson syndrome SJS , and toxic epidermal necrolysis TEN , can be problematic because they have been used in the literature to describe a spectrum of often overlapping conditions with different causes and outcomes, according to Dr. RIME encompasses mycoplasma pneumoniae-induced rash and mucositis MIRM , which Canavan and colleagues defined in as a specific entity of erosive mucositis and relatively mild cutaneous findings in patients with mycoplasma pneumoniae infection. According to Dr. Introcaso, both bacterial and viral respiratory pathogens have been associated with RIME. These include not only Mycoplasma pneumoniae , but also Chlamydia pneumoniae , and group A streptococcal pharyngitis as bacterial causes.

Rime medical abbreviation

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Patients generally have a prodrome of fever, malaise, and cough approximately one week prior to the onset of mucocutaneous eruption. June 10, Blistering severe cutaneous adverse reactions in children: proposal for paediatric-focused clinical criteria. See "Herpetic gingivostomatitis in young children". Password must NOT contain your username. Mycoplasma pneumoniae-associated Fuchs syndrome. See "Pain in children: Approach to pain assessment and overview of management principles". Since MIRM predominantly affects the pediatric population the differential diagnosis summarized in Table 2 lists possibilities more prevalent in this demographic. Mycoplasma pneumoniae-Associated Mucositis. Our collective observations and shared work in the medical literature have brought us to an exciting point in the understanding of RIME. Miscellaneous » Unclassified. Trusted and used in more than 2, hospitals, large clinics, and medical schools to improve clinical decision-making. Br J Dermatol ; Of note, it has been postulated that autoantibodies produced as a result of molecular mimicry between M pneumoniae and endogenous proteins cross-react with specific self-antigens that are most abundant in mucous membranes. There is really no significant mortality that has been reported.

Federal government websites often end in. The site is secure. Reactive infectious mucocutaneous eruption RIME is a recently proposed term used to describe cases of postinfectious rash and mucositis.

Patients and families should be counseled on the low, but real, risk of recurrence and instructed to present to care early in the course of disease if recurrence is suspected. Use our Power Search technology to look for more unique definitions from across the web! Clinicians, however, need to make observations, publish case series, and get feedback from colleagues through published literature, presentations, and shared experiences to define and redefine emerging conditions over time. Pneumoniae suggests recent infection, but these levels can remain elevated for several months. As two of the episodes demonstrated contemporaneous infection with MP and group A streptococcus or influenza B, this case lends further support to use of the term RIME. We have sent an e-mail with this patient information. Educators have the insight to define important questions to research in more depth, the drive to seek out the evidence behind clinical practice, and the skills to scrutinize the quality of this evidence. See " Mycoplasma pneumoniae infection in children", section on 'Pneumonia'. Hawkes MD Peter W. Discussion Mucosal manifestations of COVID are emerging as a complication with a variety of presentations among both adults and children, without clear gender preference. Mycoplasma pneumoniae-induced rash and mucositis as a syndrome distinct from Stevens-Johnson syndrome and erythema multiforme: a systematic review. Based on symptom severity, referral to the most appropriate health care setting should also be considered. Access archive Advertisement.