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DRESS syndrome


Authors: Monika Adamcová;  Igor Šturdík;  Tomáš Koller;  Juraj Payer
Authors place of work: V. interná klinika LF UK a UN Bratislava, Nemocnica Ružinov, Slovenská republika
Published in the journal: Vnitř Lék 2016; 62(4): 334-337
Category: Case Reports

Summary

DRESS syndrome (Drug Rash with Eosinophilia and Systemic Symptoms) is severe drug-induced allergic-type reaction which occurs few days to weeks after taking a drug in a predisposed patient. Organ damage, eosinophilia and skin rash are typical at presentation. Corticotherapy is often necessary in severe cases. In this report we describe a case of 56-year old female with fever, elevated liver tests and skin rash. DRESS syndrome was diagnosed and allopurinol was indentified as a causative drug. Due to possible fatal outcome, DRESS syndrome should be considered in a differential diagnosis of all patients presenting with similar signs and symptoms.

Key words:
allopurinol – DRESS syndrome – hepatopathy


Zdroje

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8. Shiohara T, Inaoka M, Kano Y. Drug-induced hypersensitivity syndrome (DIHS): a reaction induced by a complex interplay among herpesviruses and antiviral and antidrug immune responses. Allergol Int 2006; 55(1): 1–8.

9. Karásek D, Vymětal J, Cibíčková L et al. DRESS syndrom vzniklý při léčbě alopurinolem. Klin Farmakol Farm 2014; 28: 152–157.

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Štítky
Diabetology Endocrinology Internal medicine

Článok vyšiel v časopise

Internal Medicine

Číslo 4

2016 Číslo 4
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