Fatima Maryam, Azimi Salwa Sahar, Ashwini Soumya, Radhakrishna Madhuri H
AIG Hospitals.
G. Pulla Reddy College of Pharmacy.
Mediterr J Rheumatol. 2023 Jun 30;34(2):245-251. doi: 10.31138/mjr.34.2.245. eCollection 2023 Jun.
Drug rash with eosinophilia and systemic symptoms syndrome (DRESS) is a potentially life-threatening, drug-induced, multi-organ system reaction. The most frequently involved organ is the liver, followed by the kidneys and lungs. Early detection and diagnosis followed by withdrawal of the offending agent is vital to minimise the associated morbidity and mortality, and a detailed drug history is vital to identify the causative drugs. Although Spanish guidelines were developed by a panel of allergy specialists from the Drug Allergy Committee of the Spanish Society of Allergy and Clinical Immunology (SEAIC) and are available in literature from 2020, many clinicians are still unaware about the management of this syndrome. Framing National guidelines for the early diagnosis and pharmaco-therapeutic management of DRESS will help healthcare professionals to save the patients from unintended vulnerability. We hereby present a case series on DRESS.
药物性皮疹伴嗜酸性粒细胞增多和全身症状综合征(DRESS)是一种潜在的危及生命的药物诱导的多器官系统反应。最常受累的器官是肝脏,其次是肾脏和肺。早期检测和诊断,随后停用致病药物对于将相关的发病率和死亡率降至最低至关重要,详细的用药史对于确定致病药物至关重要。尽管西班牙过敏和临床免疫学会(SEAIC)药物过敏委员会的一组过敏专家制定了西班牙指南,并且2020年的文献中已有相关内容,但许多临床医生仍然不了解该综合征的管理方法。制定关于DRESS早期诊断和药物治疗管理的国家指南将有助于医护人员使患者免受意外伤害。我们在此展示一组DRESS病例。