Drug reaction with eosinophilia and systemic symptoms (DRESS) caused by sulfasalazine: a case report and literature review

Author:

Fedorov A. S.1ORCID,Savelyeva Yu. O.1ORCID,Grabovetskay Yu. Yu.1ORCID,Rudyuk L. A.2ORCID,Kuchinskaya E. M.3ORCID,Kostik M. M.4ORCID

Affiliation:

1. Regional Clinical Hospital of Kaliningrad Region

2. Regional Clinical Hospital of Kaliningrad Region; Immanuel Kant Baltic Federal University

3. V.A. Almazov National Medical Research Center, Ministry of Health of Russia

4. Saint Petersburg State Pediatric Medical University

Abstract

Drug-induced hypersensitivity syndrome (DIHS) or drug reaction with eosinophilia and systemic symptoms (DRESS) is a rare, potentially fatal systemic reaction characterized by multiorgan damage involving the liver, hematopoietic system and skin, and heterogeneous manifestations of fever, rash, lymphadenopathy and eosinophilia with unpredictable course.We describe a 41-year-old female patient who developed DRESS syndrome after taking sulfasalazine prescribed for non-radiographic axial spondyloarthritis. Treatment with intravenous and then oral glucocorticoids was effective. A review of the literature on this topic is presented.

Publisher

IMA Press, LLC

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