title: Pediatrician! Do you know the symptoms of DRESS syndrome? A case report of a 4-year-old girl.
abstract: Drug Rash with Eosinophilia and Systemic Symptoms (DRESS) syndrome is a severe drug-induced hypersensitivity syndrome and may be observed after administration of many drugs. Clinical symptoms usually occur 2 to 8 weeks after drug introduction. Because DRESS syndrome is potentially life threatening, it is especially important to diagnose it early. Withdrawal of the drug which induced symptoms is the most important therapeutic option. DRESS syndrome appears mostly in adults. There are relatively few articles on the DRESS syndrome in children. The article presents a case of a 4-year-old girl with a life-threatening clinical course of DRESS syndrome with massive pulmonary involvement. The knowledge of DRESS syndrome clinical symptoms is essential for doctors of various specialties. It is especially important that general practitioners, pediatricians, and pediatric neurologists should be able to take this life-threatening syndrome into consideration for differential diagnosis.
authors.affiliation: Department of Paediatrics, Haematology, Oncology and Endocrinology, Medical University of Gdansk, Gdansk, Poland. nirga@gumed.edu.pl
authors.forename: Ninela
authors.initials: N
authors.lastname: Irga
authors.forename: Wojciech
authors.initials: W
authors.lastname: Kosiak
authors.forename: Radoslaw
authors.initials: R
authors.lastname: Jaworski
authors.forename: Jacek
authors.initials: J
authors.lastname: Zielinski
authors.forename: Elzbieta
authors.initials: E
authors.lastname: Adamkiewicz-Drozynska
mesh_terms: D000927:Anticonvulsants / Q000008:administration & dosage / Q000009:adverse effects*; D002220:Carbamazepine / Q000008:administration & dosage / Q000009:adverse effects*; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004342:Drug Hypersensitivity / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D004802:Eosinophilia / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D005076:Exanthema / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D013577:Syndrome; D016896:Treatment Outcome
chemical_list: D000927:Anticonvulsants; D002220:Carbamazepine