title: [Drug rash with eosinophilia and systemic symptoms (DRESS) attributed to the oral skin-care supplement Imedeen].
abstract: In a 56-year-old woman, 'drug rash with eosinophilia and systemic symptoms' (DRESS) was diagnosed. She had been admitted to hospital twice in two months because of fever and skin rash. Further studies revealed that in addition to the skin rash, the woman also suffered from eosinophilia, lymphadenopathy and a temporary liver-function disorder. After infectious and malignant causes had been excluded, the DRESS syndrome was diagnosed. The syndrome was attributed to the oral skin-care supplement Imedeen. She had stopped using this preparation previously, after which the symptoms decreased markedly. Now she was treated with corticosteroids and methotrexate and recovered completely after almost four months. The DRESS syndrome is characterised by skin rash, fever, lymphadenopathy and haematological abnormalities, especially eosinophilia and/or atypical lymphocytosis. Single or multiple organ involvement, especially of the liver, kidney, lungs and/or heart, is also common. The syndrome is associated with a number of different drugs.
authors: Inspectie voor de Gezondheidszorg, Postbus 16.119, 2500 BC Den Haag.
authors: J F
authors: JF
authors: van Leeuwen
authors: C S
authors: CS
authors: van der Hooft
authors: L E
authors: LE
authors: Vos
authors: M W
authors: MW
authors: Bekkenk
authors: E J
authors: EJ
authors: van Zuuren
authors: B H Ch
authors: BH
authors: Stricker
mesh_terms: D056486:Chemical and Drug Induced Liver Injury; D003875:Drug Eruptions / Q000175:diagnosis* / Q000209:etiology*; D004342:Drug Hypersensitivity / Q000175:diagnosis* / Q000209:etiology*; D004802:Eosinophilia / Q000139:chemically induced; D005076:Exanthema / Q000139:chemically induced; D005260:Female; D005334:Fever / Q000139:chemically induced; D006025:Glycosaminoglycans / Q000009:adverse effects*; D006801:Humans; D008206:Lymphatic Diseases / Q000139:chemically induced; D008875:Middle Aged; D011506:Proteins / Q000009:adverse effects*; D012307:Risk Factors; D013577:Syndrome
chemical_list: D006025:Glycosaminoglycans; C070172:Imedeen; D011506:Proteins