Sulfasalazine-induced DRESS syndrome (Drug Rash with Eosinophilia and Systemic Symptoms).

Sao Paulo Med J

Department of Internal Medicine, Faculdade de Ciências Médicas, Santa Casa de São Paulo, São Paulo, Brazil.

Published: July 2008

Context: DRESS syndrome (Drug Rash with Eosinophilia and Systemic Symptoms) is a type of drug reaction commonly mistaken for a viral infection. It must be recognized promptly due to its high morbidity and 10% mortality rate. Few cases of DRESS syndrome induced by sulfasalazine have been reported in the literature.

Case Report: The case of a 47-year-old white Brazilian woman who developed DRESS syndrome eight weeks after starting a course of sulfasalazine for treatment of seronegative arthritis is reported. She presented a skin rash, fever, hepatitis, lymphadenopathy, eosinophilia and atypical lymphocytes. The causative drug was discontinued immediately, but she only improved after treatment with prednisone.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11025977PMC
http://dx.doi.org/10.1590/s1516-31802008000400006DOI Listing

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