title: [Anticonvulsant hypersensitivity syndrome in children].
abstract: Anticonvulsant hypersensitivity syndrome, or DRESS (Drug Rash with Eosinophilia and Systemic Symptoms), is a rare multisystem disorder, potentially fatal, that occurs after exposure to antiepileptic drugs, mainly aromatic ones. Clinically, this condition is recognized by the classic triad of fever, rash and internal organ involvement that usually develops 1 to 12 weeks after initiation of therapy. We report a case of a child treated with sodium valproate for epilepsy that showed a febrile rash 4 weeks after being medicated with phenobarbital. Laboratory testing revealed leukocytosis with eosinophilia elevated C-reactive protein and liver enzymes. Phenobarbital was suspended, with slow full recovery. This syndrome may mimic infectious, immunologic and neoplastic conditions, which may delay the correct diagnosis, but must be excluded in the presence of characteristic clinical features and drug exposition.
authors.affiliation: Unidade de Infecciologia, Hospital Dona Estefânia, Lisboa.
authors.forename: Ana Ehrhardt
authors.initials: AE
authors.lastname: Pinheiro
authors.forename: Raquel
authors.initials: R
authors.lastname: Ferreira
authors.forename: Gonçalo Cordeiro
authors.initials: GC
authors.lastname: Ferreira
authors.forename: Luís
authors.initials: L
authors.lastname: Varandas
mesh_terms: D000927:Anticonvulsants / Q000009:adverse effects*; D002648:Child; D003875:Drug Eruptions / Q000209:etiology*; D004802:Eosinophilia / Q000139:chemically induced*; D006801:Humans; D008297:Male; D013577:Syndrome
chemical_list: D000927:Anticonvulsants