DReSS Syndrome

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Disease overview

A rare disorder that can affect the skin, blood and any internal organs, most commonly the liver, kidney, lungs and heart. The cause of DReSS is multifactorial involving drug-exposure, genetic predisposition, viral reactivation and immune system responses.

Common symptoms

Most common are a flu-like prodrome of malaisesore throatfever and swollen lymph nodes. Followed by maculopapular or morbilliformurticated papular rashes and full body redness with exfoliative erythroderma. [ ]

WHEN TO SUSPECT

  • Recommendation 1

    The RegiSCAR criteria (Kardaun et al. 2007) and The Japanese Consensus Group criteria (Shiohara et al. 2007).

HOW TO TEST

  • Recommendation 1

    The RegiSCAR criteria (Kardaun et al. 2007) and The Japanese Consensus Group criteria (Shiohara et al. 2007).

TREATMENT

  • Recommendation 1

    Systemic steroids alongside identification and immediate withdrawal the culprit drug.

PRIMARY CARE

  • Recommendation 1

    The causative drug needs to be avoided indefinitely.

FURTHER SUPPORT

  • Recommendation 1

    Aziz, Mariam MD and Ishmael, Faoud MD . Referral to Medical Genetics Department, if available. Initial virtual care is also available through organizations like TeleRare Health.

CLINICAL TRIALS

  • Recommendation 1

    2 non-recruting

Sources

No data available

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