Síndrome DRESS causado por alopurinol y desencadenado por COVID-19

Drug reaction with eosinophilia and systemic symptoms syndrome (DRESS Syndrome) is caused by many different aetiological factors. We present the case of a 56-year-old woman who started allopurinol treatment about 3 weeks before. She presented with fever, hypotension, tachycardia, generalized maculop...

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Bibliographic Details
Main Authors: Telma Elias, Ana Clara Dinis, Cátia Gorgulho
Format: Article
Language:English
Published: Sociedade Galega de Medicina Interna 2000-10-01
Series:Galicia Clínica
Subjects:
Online Access:https://galiciaclinica.info/publicacion.asp?f=2478
Description
Summary:Drug reaction with eosinophilia and systemic symptoms syndrome (DRESS Syndrome) is caused by many different aetiological factors. We present the case of a 56-year-old woman who started allopurinol treatment about 3 weeks before. She presented with fever, hypotension, tachycardia, generalized maculopapular cutaneous rash, facial edema and axillar, inguinal and cervical enlarged lymph nodes. Complementary diagnostic exams: slight lymphocytosis, eosinophilia, acute renal failure, elevated hepatic enzymes. Swab for SARS-CoV-2 was positive. Serologic tests for another virus were negative. Histopathological analysis was compatible with DRESS syndrome. SARS-CoV-2 could also be taken into account when suspected DRESS syndrome.
ISSN:0304-4866
1989-3922