DRESS syndrome: diagnostic and therapeutic approach
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1.
Gómez Cerdas MT, Corrales Morales TM, Ugalde Jiménez O. DRESS syndrome: diagnostic and therapeutic approach. Rev.méd.sinerg. [Internet]. 2019Jun.1 [cited 2024Jul.22];4(6):60 - 72. Available from: https://revistamedicasinergia.com/index.php/rms/article/view/244

Abstract

Medications are elements that improve our quality of life in different ways. However, with the use of medications we can have side effects related to the interaction between medication-medication, medication-food, medication-supplements, drugs-diseases, and finally drugs and the human body. The eosinophilic drug reaction syndrome and systemic symptoms, is a serious infrequent and potentially fatal toxicoderma. The chronology covers a long-time interval between the intake of the medication and the appearance of the first symptoms (2-8 weeks). Its pathophysiology is not fully elucidated. An immune response is involved against the drug or its metabolites in a context of genetic susceptibility (expressed by the association of some human leukocyte antigens [HLA] and / or metabolism abnormalities of the drug) and a reactivation of herpes virus (human herpes virus) 6 [VHH-6], VHH-7, Epstein-Barr virus, cytomegalovirus), with a T lymphocyte immune response directed against these viruses. The diagnosis of this syndrome is confirmed by clinical and paraclinical diagnostic criteria. The treatment is not well standardized, but it is based on the interruption of the presumed medication involved and on corticosteroid therapy.

https://doi.org/10.31434/rms.v4i6.244

Keywords

drug hypersensitivity syndrome. drug-related side effects and adverse reactions. anticonvulsants. eosinophilia.
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References

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