DRESSed for distress: a case of allopurinol-induced DRESS syndrome

DRESS (Drug Reaction with Eosinophilia and Systemic Symptoms) syndrome is a severe systemic drug reaction characterized by a latent period of several weeks following the initiation of drug therapy. Among the most well-known causative agents is allopurinol, commonly prescribed for managing asymptomat...

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Main Authors: Areti Kalfoutzou, Aikaterini Doumana, Aimilia-Iris Karamolegkou, Adam Mylonakis, Christos Piperis, Maria Dimitrakoudi, Eleni Mostratou
Format: Article
Language:English
Published: Pensoft Publishers 2024-12-01
Series:Folia Medica
Online Access:https://foliamedica.bg/article/126615/download/pdf/
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author Areti Kalfoutzou
Aikaterini Doumana
Aimilia-Iris Karamolegkou
Adam Mylonakis
Christos Piperis
Maria Dimitrakoudi
Eleni Mostratou
author_facet Areti Kalfoutzou
Aikaterini Doumana
Aimilia-Iris Karamolegkou
Adam Mylonakis
Christos Piperis
Maria Dimitrakoudi
Eleni Mostratou
author_sort Areti Kalfoutzou
collection DOAJ
description DRESS (Drug Reaction with Eosinophilia and Systemic Symptoms) syndrome is a severe systemic drug reaction characterized by a latent period of several weeks following the initiation of drug therapy. Among the most well-known causative agents is allopurinol, commonly prescribed for managing asymptomatic gout. Allopurinol-induced DRESS syndrome is associated with high mortality rates and significant long-term sequelae. This report details the case of an elderly female patient who presented with an extensive rash covering her trunk and extremities which was concurrent with her use of allopurinol. The condition progressed to renal impairment but showed significant improvement upon cessation of the drug and administration of high-dose corticosteroids. This case aims to shed light on one of the most underrecognized types of systemic drug reactions, hoping to raise awareness about this rare yet serious complication of one of the most widely prescribed drugs.
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institution Kabale University
issn 1314-2143
language English
publishDate 2024-12-01
publisher Pensoft Publishers
record_format Article
series Folia Medica
spelling doaj-art-2b0cb64c6ef14f1ea3f83682c19ac6822025-01-07T08:30:13ZengPensoft PublishersFolia Medica1314-21432024-12-0166692993410.3897/folmed.66.e126615126615DRESSed for distress: a case of allopurinol-induced DRESS syndromeAreti Kalfoutzou0Aikaterini Doumana1Aimilia-Iris Karamolegkou2Adam Mylonakis3Christos Piperis4Maria Dimitrakoudi5Eleni Mostratou6251 Air Force General Hospital251 Air Force General Hospital251 Air Force General HospitalLaikon General HospitalGeorgios Gennimatas General HospitalLaikon General Hospital251 Air Force General HospitalDRESS (Drug Reaction with Eosinophilia and Systemic Symptoms) syndrome is a severe systemic drug reaction characterized by a latent period of several weeks following the initiation of drug therapy. Among the most well-known causative agents is allopurinol, commonly prescribed for managing asymptomatic gout. Allopurinol-induced DRESS syndrome is associated with high mortality rates and significant long-term sequelae. This report details the case of an elderly female patient who presented with an extensive rash covering her trunk and extremities which was concurrent with her use of allopurinol. The condition progressed to renal impairment but showed significant improvement upon cessation of the drug and administration of high-dose corticosteroids. This case aims to shed light on one of the most underrecognized types of systemic drug reactions, hoping to raise awareness about this rare yet serious complication of one of the most widely prescribed drugs.https://foliamedica.bg/article/126615/download/pdf/
spellingShingle Areti Kalfoutzou
Aikaterini Doumana
Aimilia-Iris Karamolegkou
Adam Mylonakis
Christos Piperis
Maria Dimitrakoudi
Eleni Mostratou
DRESSed for distress: a case of allopurinol-induced DRESS syndrome
Folia Medica
title DRESSed for distress: a case of allopurinol-induced DRESS syndrome
title_full DRESSed for distress: a case of allopurinol-induced DRESS syndrome
title_fullStr DRESSed for distress: a case of allopurinol-induced DRESS syndrome
title_full_unstemmed DRESSed for distress: a case of allopurinol-induced DRESS syndrome
title_short DRESSed for distress: a case of allopurinol-induced DRESS syndrome
title_sort dressed for distress a case of allopurinol induced dress syndrome
url https://foliamedica.bg/article/126615/download/pdf/
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