WORLD EMERGENCY MEDICINE SOCIETIES & RELATED

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Saturday, August 19, 2017

DRESS

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emDocs - August 15, 2017 - Authors: Nemero M and Oliver J
Edited by: Koyfman A and Long B
"Key Points
  • DRESS syndrome should be suspected whenever a patient presents with a fever, morbilliform rash, and lymphadenopathy following a medication change.
  • Liver failure is the leading cause of mortality in DRESS syndrome
  • Frequently co-exists with herpesvirus, CMV, or EBV reactivation
  • The mainstay of treatment is stopping the offending agent
  • DRESS without severe organ involvement is treated outpatient with topical steroids
  • DRESS with severe organ involvement warrants hospitalization and the use of systemic corticosteroids"