Pseudomembranous colitis in a patient with lamotrigine-induced drug rash with eosinophilia and systemic symptoms syndrome

Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a hypersensitivity reaction with rash, fever and multiorgan dysfunction potentially lethal in up to 10% of cases. It often affects liver function, but it can also affect kidney, lungs, and heart. Severe gastrointestinal involv...

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Main Authors: Manuel Soria Orozco, Eduardo Martín Nares, Alvaro López Iñiguez, Sandra Gónzalez Saldaña, Lorena Valerdi Contreras, Jair Abdiel Toro Guerrero
Format: Article
Language:English
Published: MDPI AG 2016-08-01
Series:Gastroenterology Insights
Subjects:
Online Access:http://www.pagepress.org/journals/index.php/gi/article/view/6491
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author Manuel Soria Orozco
Eduardo Martín Nares
Alvaro López Iñiguez
Sandra Gónzalez Saldaña
Lorena Valerdi Contreras
Jair Abdiel Toro Guerrero
author_facet Manuel Soria Orozco
Eduardo Martín Nares
Alvaro López Iñiguez
Sandra Gónzalez Saldaña
Lorena Valerdi Contreras
Jair Abdiel Toro Guerrero
author_sort Manuel Soria Orozco
collection DOAJ
description Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a hypersensitivity reaction with rash, fever and multiorgan dysfunction potentially lethal in up to 10% of cases. It often affects liver function, but it can also affect kidney, lungs, and heart. Severe gastrointestinal involvement is rare. We present a case of a 31-year-old hispanic woman with pseudomembranous colitis associated with lamotrigine-induced DRESS syndrome. To the best of our knowledge, this is the fourth reported case of severe involvement of the gastrointestinal tract and the first to report pseudomembranous colitis in the setting of DRESS syndrome.
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spelling doaj.art-3fc55ba6ee124d26a13164625fc5d58e2022-12-22T02:05:17ZengMDPI AGGastroenterology Insights2036-74142036-74222016-08-017110.4081/gi.2016.64913498Pseudomembranous colitis in a patient with lamotrigine-induced drug rash with eosinophilia and systemic symptoms syndromeManuel Soria Orozco0Eduardo Martín Nares1Alvaro López Iñiguez2Sandra Gónzalez Saldaña3Lorena Valerdi Contreras4Jair Abdiel Toro Guerrero5Department of Internal Medicine, Civil Hospital Fray Antonio Alcalde, Guadalajara, JaliscoDepartment of Internal Medicine, Civil Hospital Fray Antonio Alcalde, Guadalajara, JaliscoDepartment of Internal Medicine, Civil Hospital Fray Antonio Alcalde, Guadalajara, JaliscoDepartment of Internal Medicine, Civil Hospital Fray Antonio Alcalde, Guadalajara, JaliscoDepartment of Internal Medicine, Civil Hospital Fray Antonio Alcalde, Guadalajara, JaliscoDepartment of Pathology, Civil Hospital Fray Antonio Alcalde, Guadalajara, JaliscoDrug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a hypersensitivity reaction with rash, fever and multiorgan dysfunction potentially lethal in up to 10% of cases. It often affects liver function, but it can also affect kidney, lungs, and heart. Severe gastrointestinal involvement is rare. We present a case of a 31-year-old hispanic woman with pseudomembranous colitis associated with lamotrigine-induced DRESS syndrome. To the best of our knowledge, this is the fourth reported case of severe involvement of the gastrointestinal tract and the first to report pseudomembranous colitis in the setting of DRESS syndrome.http://www.pagepress.org/journals/index.php/gi/article/view/6491DRESS syndromemultiorgan involvementpseudomembranous colitislamotrigineanticonvulsant hypersensitivity syndrome
spellingShingle Manuel Soria Orozco
Eduardo Martín Nares
Alvaro López Iñiguez
Sandra Gónzalez Saldaña
Lorena Valerdi Contreras
Jair Abdiel Toro Guerrero
Pseudomembranous colitis in a patient with lamotrigine-induced drug rash with eosinophilia and systemic symptoms syndrome
Gastroenterology Insights
DRESS syndrome
multiorgan involvement
pseudomembranous colitis
lamotrigine
anticonvulsant hypersensitivity syndrome
title Pseudomembranous colitis in a patient with lamotrigine-induced drug rash with eosinophilia and systemic symptoms syndrome
title_full Pseudomembranous colitis in a patient with lamotrigine-induced drug rash with eosinophilia and systemic symptoms syndrome
title_fullStr Pseudomembranous colitis in a patient with lamotrigine-induced drug rash with eosinophilia and systemic symptoms syndrome
title_full_unstemmed Pseudomembranous colitis in a patient with lamotrigine-induced drug rash with eosinophilia and systemic symptoms syndrome
title_short Pseudomembranous colitis in a patient with lamotrigine-induced drug rash with eosinophilia and systemic symptoms syndrome
title_sort pseudomembranous colitis in a patient with lamotrigine induced drug rash with eosinophilia and systemic symptoms syndrome
topic DRESS syndrome
multiorgan involvement
pseudomembranous colitis
lamotrigine
anticonvulsant hypersensitivity syndrome
url http://www.pagepress.org/journals/index.php/gi/article/view/6491
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