title: Dapsone syndrome--first Malaysian paediatric case report.
abstract: Dapsone syndrome is a potentially fatal hypersensitivity reaction to sulphone. We report a 12-year-old girl who developed high grade fever associated with intense jaundice, exfoliative skin rash and hepatomegaly after five weeks of starting the multidrug regimen for the treatment of Hansen's disease. Laboratory investigations revealed presence of leucocytosis with eosinophilia, deranged liver enzymes and an abnormal coagulation profile. Immediate cessation of the offending drug and administration of steroid proved successful. A high level of clinical awareness is fundamental for early diagnosis of dapsone syndrome as initiation of a prompt treatment may lead to rapid recovery.
authors.affiliation: Paediatric Department of Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 UPM Serdang, Selangor, Malaysia. zurina@medic.upm.edu.my
authors.forename: Z
authors.initials: Z
authors.lastname: Zurina
authors.forename: O
authors.initials: O
authors.lastname: Elizawaty
authors.forename: S
authors.initials: S
authors.lastname: Thevarajah
authors.forename: O
authors.initials: O
authors.lastname: Norlijah
mesh_terms: D000890:Anti-Infective Agents / Q000009:adverse effects*; D002648:Child; D003622:Dapsone / Q000009:adverse effects*; D004342:Drug Hypersensitivity / Q000175:diagnosis*; D042241:Early Diagnosis; D005260:Female; D006801:Humans; D013577:Syndrome
chemical_list: D000890:Anti-Infective Agents; D003622:Dapsone