The rash that unraveled: A case report of DRESS syndrome in a 45-year-old woman

Aqsa Saleem , Haris Waheed , Sampana Fatima
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Abstract

Drug rash with eosinophilia and systemic symptoms, which is a severe form of hypersensitivity drug reaction caused by drugs, is very difficult to recognize due to its insidious onset and non-specific symptoms. Such is the case with a 45-year-old female who presented to the emergency department with a fever reaching 38 °C, vomiting, diarrhea, and an erythematous maculopapular itchy rash on the trunk and extremities. The patient had a history of HTN, asthma, and chronic renal failure. Based on clinical evaluation and laboratory findings, DRESS syndrome was diagnosed and managed with hydrocortisone and glycerin, emphasizing the need for comprehensive clinical evaluation in every patient.
皮疹解除:一个45岁妇女的DRESS综合征病例报告
药物性皮疹伴嗜酸性粒细胞增多及全身症状,是由药物引起的一种严重的药物超敏反应,因其起病隐匿,症状无特异性,很难识别。这是一名45岁女性的病例,她因发烧达到38°C,呕吐,腹泻,躯干和四肢出现红斑性斑疹性瘙痒皮疹而就诊于急诊室。患者有HTN、哮喘和慢性肾衰竭病史。根据临床评价和实验室结果,诊断DRESS综合征并使用氢化可的松和甘油治疗,强调需要对每位患者进行综合临床评价。
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