Stevens-Johnson syndrome (SJS) and Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) syndrome are rare conditions, representing severe hypersensitivity reactions with significant oral presentations. SJS is an uncommon but severe variant of erythema multiforme, presenting skin and mucosal eruptions that can be potentially fatal. DRESS syndrome, similarly, involves a severe hypersensitivity reaction characterized by fever, rash, and organ involvement. DRESS syndrome is a rare but severe drug-induced hypersensitivity reaction characterized by fever, rash, eosinophilia, and internal organ involvement. The condition often presents with elevated liver enzymes and systemic symptoms that necessitate prompt diagnosis and treatment. This report discusses a case of DRESS syndrome in a 41-year-old patient, highlighting the clinical presentation, investigations, differential diagnosis, and treatment approach. Both conditions require prompt diagnosis and treatment, often involving hospitalization. This report discusses two cases of severe hypersensitivity reactions with oral manifestations.
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http://dx.doi.org/10.4103/jpbs.jpbs_1090_24 | DOI Listing |
J Pharm Bioallied Sci
December 2024
Department of Diagnostic and Surgical Dental Sciences, College of Dentistry/Gulf Medical University, Ajman, UAE.
Stevens-Johnson syndrome (SJS) and Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) syndrome are rare conditions, representing severe hypersensitivity reactions with significant oral presentations. SJS is an uncommon but severe variant of erythema multiforme, presenting skin and mucosal eruptions that can be potentially fatal. DRESS syndrome, similarly, involves a severe hypersensitivity reaction characterized by fever, rash, and organ involvement.
View Article and Find Full Text PDFJAAD Int
April 2025
Department of Dermatology, Nara Medical University School of Medicine, Nara, Japan.
We describe the case of a 73-year-old man who had been followed up by our clinic for pulmonary hypertension and asthma. He was later hospitalized and found to have significant and persistent eosinophilia compatible with hypereosinophilic syndrome. Various other conditions such as drug reaction with eosinophilia and systemic symptoms (DRESS), malignancy, and eosinophilic granulomatosis with polyangiitis (EGPA) were considered but largely excluded after further investigation.
View Article and Find Full Text PDFAm J Respir Crit Care Med
March 2025
Emory University School of Medicine, Department of Anesthesia, Atlanta, Georgia, United States.
Cureus
February 2025
B2S Research Laboratory, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, MAR.
Sulfasalazine-induced hypersensitivity syndrome (SIHS) is a drug-specific variant of the syndrome known as drug reaction with eosinophilia and systemic symptoms (DRESS). It is a severe and unpredictable hypersensitivity reaction that can present with a spectrum of symptoms, ranging from mild rashes and unexplained fever to life-threatening systemic organ involvement. This diversity of symptoms often results in a diagnostic delay and/or misdiagnosis.
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