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Erschienen in: Current Dermatology Reports 4/2021

09.11.2021 | Hospital-Based Dermatology (L Guggina and C Nguyen, Section Editors)

Updates and Insights in the Diagnosis and Management of DRESS Syndrome

verfasst von: Elisa Maria Schunkert, Sherrie Jill Divito

Erschienen in: Current Dermatology Reports | Ausgabe 4/2021

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Abstract

Purpose of Review

To provide updates on recent advances in the diagnosis and management of drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome.

Recent Findings

The number of identified HLA allele associations with DRESS continues to grow. There is increasing evidence indicating viral infection, reactivation, and cross-reactivity may play key roles in disease. Translational work illuminated JAK/STAT activation in recalcitrant disease. There is expanding recognition of rapid-onset DRESS resulting from specific drugs.

Summary

DRESS is a severe form of adverse drug reaction with potential for significant morbidity and mortality. Recent research advances may improve clinical care. HLA screening can now be performed to prevent disease in susceptible patients and may help identify culprit drugs in the near future. Viral testing should be performed on every patient, and if positive, patients potentially treated with antiviral therapy. JAK inhibitors may be an effective treatment option for DRESS. Early onset of disease relative to drug exposure should not exclude the diagnosis of DRESS.
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Metadaten
Titel
Updates and Insights in the Diagnosis and Management of DRESS Syndrome
verfasst von
Elisa Maria Schunkert
Sherrie Jill Divito
Publikationsdatum
09.11.2021
Verlag
Springer US
Erschienen in
Current Dermatology Reports / Ausgabe 4/2021
Elektronische ISSN: 2162-4933
DOI
https://doi.org/10.1007/s13671-021-00348-z

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