Drug reaction with eosinophilia and systemic symptoms syndrome

Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a delayed form of severe cutaneous adverse reaction (SCAR) seen in association with certain drugs, especially anticonvulsants and allopurinol. Unlike other SCARs, DRESS is associated with significant systemic involvement such...

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Main Authors: K C Shanoj, Sneha Joseph, Padmanabha Shenoy
Format: Article
Language:English
Published: SAGE Publishing 2019-01-01
Series:Indian Journal of Rheumatology
Subjects:
Online Access:http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2019;volume=14;issue=5;spage=59;epage=66;aulast=Shanoj
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author K C Shanoj
Sneha Joseph
Padmanabha Shenoy
author_facet K C Shanoj
Sneha Joseph
Padmanabha Shenoy
author_sort K C Shanoj
collection DOAJ
description Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a delayed form of severe cutaneous adverse reaction (SCAR) seen in association with certain drugs, especially anticonvulsants and allopurinol. Unlike other SCARs, DRESS is associated with significant systemic involvement such as fever, lymphadenopathy, eosinophilia, renal failure, transaminitis, and myocarditis. Because of delayed onset of symptoms and a persistent course even after discontinuation of culprit drug, DRESS can mimic a variety of rheumatological disorders. Even though glucocorticoids are the mainstay of treatment, unlike other SCARs, DRESS is associated with a high incidence of viral reactivation, especially with members of the human Herpesviridae family. Early identification of the viral activation and prompt therapy is critical in the management of DRESS.
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institution Kabale University
issn 0973-3698
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publishDate 2019-01-01
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record_format Article
series Indian Journal of Rheumatology
spelling doaj-art-80c1abd13cbe49c9ac09a03b04bbf2e42025-02-03T12:00:09ZengSAGE PublishingIndian Journal of Rheumatology0973-36980973-37012019-01-01145596610.4103/0973-3698.272151Drug reaction with eosinophilia and systemic symptoms syndromeK C ShanojSneha JosephPadmanabha ShenoyDrug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a delayed form of severe cutaneous adverse reaction (SCAR) seen in association with certain drugs, especially anticonvulsants and allopurinol. Unlike other SCARs, DRESS is associated with significant systemic involvement such as fever, lymphadenopathy, eosinophilia, renal failure, transaminitis, and myocarditis. Because of delayed onset of symptoms and a persistent course even after discontinuation of culprit drug, DRESS can mimic a variety of rheumatological disorders. Even though glucocorticoids are the mainstay of treatment, unlike other SCARs, DRESS is associated with a high incidence of viral reactivation, especially with members of the human Herpesviridae family. Early identification of the viral activation and prompt therapy is critical in the management of DRESS.http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2019;volume=14;issue=5;spage=59;epage=66;aulast=Shanojdrug inducedhypereosinophiliarash
spellingShingle K C Shanoj
Sneha Joseph
Padmanabha Shenoy
Drug reaction with eosinophilia and systemic symptoms syndrome
Indian Journal of Rheumatology
drug induced
hypereosinophilia
rash
title Drug reaction with eosinophilia and systemic symptoms syndrome
title_full Drug reaction with eosinophilia and systemic symptoms syndrome
title_fullStr Drug reaction with eosinophilia and systemic symptoms syndrome
title_full_unstemmed Drug reaction with eosinophilia and systemic symptoms syndrome
title_short Drug reaction with eosinophilia and systemic symptoms syndrome
title_sort drug reaction with eosinophilia and systemic symptoms syndrome
topic drug induced
hypereosinophilia
rash
url http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2019;volume=14;issue=5;spage=59;epage=66;aulast=Shanoj
work_keys_str_mv AT kcshanoj drugreactionwitheosinophiliaandsystemicsymptomssyndrome
AT snehajoseph drugreactionwitheosinophiliaandsystemicsymptomssyndrome
AT padmanabhashenoy drugreactionwitheosinophiliaandsystemicsymptomssyndrome