Aktaş, Habibullah2024-09-292024-09-292019https://doi.org/10.30565/medalanya.515649https://search.trdizin.gov.tr/tr/yayin/detay/376951https://hdl.handle.net/20.500.14619/10858Erythema multiforme is an immune- mediated skin disorder characterized byerythematous target –like macules, papules and plaques commonly locatedover distal extremities as well as mucosal involvement. It is mostly inducedby herpes simplex infections and various medications. Recurrences of herpessimplex infections result in new erythema multiforme lesions in immunologicallysusceptible people. Therefore, suppressing herpes reactivations also suppresseserythema multiforme attacks. Antiviral medications such as acyclovir, valacyclovirand famciclovir have limited capacity to prevent such recurrences due totheir inadequate efficiency after continuous use . Those patients usually seekan absolute remedy to prevent recurrences. Bromelain is a well-known herbalsupplement containing proteolytic enzymes produced from pineapple plant. Ithas been used in many clinical conditions including sinusitis, sports injuries andneoplastic diseases for years with a great safety profile. Herein, we present ayoung female patient with long -term erythema multiforme attacks induced byherpes simplex infections. She became free of disease after using oralbromelain 500 mg twice a day for one year.eninfo:eu-repo/semantics/openAccessBromelain improved long-term erythema multiforme attacks induced by herpes simplex infection: a case reportArticle10.30565/medalanya.51564931333113769513