Drug reaction with eosinophilia and systemic symptoms (DRESS): a hypersensitivity reaction with various symptoms
Drug reaction with eosinophilia and systemic symptoms (DRESS) is an illness which is difficult to diagnose because of its various symptoms. In our case, a patient with small spotted exanthema with nearly erythroderma and eosinophilia presented to the emergency room. Systemic steroid therapy was star...
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Veröffentlicht in: | Dermatologie (Heidelberg, Germany) Germany), 2024-10, Vol.75 (10), p.809 |
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description | Drug reaction with eosinophilia and systemic symptoms (DRESS) is an illness which is difficult to diagnose because of its various symptoms. In our case, a patient with small spotted exanthema with nearly erythroderma and eosinophilia presented to the emergency room. Systemic steroid therapy was started on suspicion of a drug reaction. Over the course of time, the patient's general condition deteriorated significantly and the patient developed cholecystitis, Staphylococcus aureus bacteremia, pneumonitis and cytomegalovirus reactivation. With this case report, we want to show that DRESS is a disease that is difficult to treat and can develop after a long delay. |
doi_str_mv | 10.1007/s00105-024-05364-1 |
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In our case, a patient with small spotted exanthema with nearly erythroderma and eosinophilia presented to the emergency room. Systemic steroid therapy was started on suspicion of a drug reaction. Over the course of time, the patient's general condition deteriorated significantly and the patient developed cholecystitis, Staphylococcus aureus bacteremia, pneumonitis and cytomegalovirus reactivation. With this case report, we want to show that DRESS is a disease that is difficult to treat and can develop after a long delay.</description><subject>Cholecystitis</subject><subject>Diagnosis, Differential</subject><subject>Drug Hypersensitivity Syndrome - diagnosis</subject><subject>Drug Hypersensitivity Syndrome - etiology</subject><subject>Eosinophilia - chemically induced</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><issn>2731-7013</issn><issn>2731-7013</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkEtOwzAYhC0EolXpBVigLMsi8Nu_nTjsUFseUiUkCuvIcR1qlFdjp1Vuw1k4GZUoCLGabzEzGg0h5xSuKEB87QAoiBAYD0FgxEN6RIYsRhrGQPH4Dw_I2Ll3AEBGk0jyUzJAKSnlXAzJZtZ2b0FrlPa2roKd9evA1M5WdbO2hVWBqlaB6503pdV7KBtfly6YzJ7ny-XlTaA-P9Z9Y1pnKme93Vrf_2vbqtbWnfvNnpGTXBXOjA86Iq9385fpQ7h4un-c3i7ChnLqQ4pMgOIamc5BsQSznCMIjipjSHOFnEeRVFomPGFMRsKsMpC5yDjqSIkcR2Ty3du09aYzzqelddoUharMfk-KEDHBJIthb704WLusNKu0aW2p2j79uQm_AHZQbOY</recordid><startdate>202410</startdate><enddate>202410</enddate><creator>Hansel, A</creator><creator>Oms, E</creator><creator>Tronnier, M</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>202410</creationdate><title>Drug reaction with eosinophilia and systemic symptoms (DRESS): a hypersensitivity reaction with various symptoms</title><author>Hansel, A ; Oms, E ; Tronnier, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p141t-13250a4c32cf0a293bf430543ab231fa344668ac894922865edb08f5b43c6a5f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>ger</language><creationdate>2024</creationdate><topic>Cholecystitis</topic><topic>Diagnosis, Differential</topic><topic>Drug Hypersensitivity Syndrome - diagnosis</topic><topic>Drug Hypersensitivity Syndrome - etiology</topic><topic>Eosinophilia - chemically induced</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hansel, A</creatorcontrib><creatorcontrib>Oms, E</creatorcontrib><creatorcontrib>Tronnier, M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Dermatologie (Heidelberg, Germany)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hansel, A</au><au>Oms, E</au><au>Tronnier, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Drug reaction with eosinophilia and systemic symptoms (DRESS): a hypersensitivity reaction with various symptoms</atitle><jtitle>Dermatologie (Heidelberg, Germany)</jtitle><addtitle>Dermatologie (Heidelb)</addtitle><date>2024-10</date><risdate>2024</risdate><volume>75</volume><issue>10</issue><spage>809</spage><pages>809-</pages><issn>2731-7013</issn><eissn>2731-7013</eissn><abstract>Drug reaction with eosinophilia and systemic symptoms (DRESS) is an illness which is difficult to diagnose because of its various symptoms. 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subjects | Cholecystitis Diagnosis, Differential Drug Hypersensitivity Syndrome - diagnosis Drug Hypersensitivity Syndrome - etiology Eosinophilia - chemically induced Female Humans Male Middle Aged |
title | Drug reaction with eosinophilia and systemic symptoms (DRESS): a hypersensitivity reaction with various symptoms |
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