Abstract | BACKGROUND: OBJECTIVE: The objective of this study was to describe a case series of pediatric patients with DRESS who were treated successfully with intravenous immunoglobulins (IVIGs). METHODS: A retrospective review of all children hospitalized in a tertiary care children's hospital with severe DRESS syndrome who received IVIG in addition to offending drug withdrawal and systemic corticosteroids during 1999-2017 is performed. RESULTS: Seven severe DRESS patients (4 males, age: 9.5 ± 5.7 years) are described. The offending drugs were antiepileptics in all but one case. Clinical findings included fever, rash, lymphadenopathy, dyspnea, anasarca, and hepatic involvement. After IVIG treatment (total dosage: 1-2 g/kg), fever resolved within a median time of 1 (range, 0-5) day, rash disappeared after 6.3 ± 1.6 days, and liver enzymes substantially improved after 3.8 ± 1.6 days. Patients were discharged 6.1 ± 2.7 days after IVIG commencement. There was no mortality. CONCLUSION:
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Authors | Nufar Marcus, Keren Smuel, Moran Almog, Dario Prais, Rachel Straussberg, Daniel Landau, Oded Scheuerman |
Journal | The journal of allergy and clinical immunology. In practice
(J Allergy Clin Immunol Pract)
2018 Jul - Aug
Vol. 6
Issue 4
Pg. 1238-1242
ISSN: 2213-2201 [Electronic] United States |
PMID | 29198698
(Publication Type: Journal Article)
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Copyright | Copyright © 2017 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved. |
Chemical References |
- Adrenal Cortex Hormones
- Anti-Bacterial Agents
- Anticonvulsants
- Immunoglobulins, Intravenous
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Topics |
- Adolescent
- Adrenal Cortex Hormones
(therapeutic use)
- Anti-Bacterial Agents
(adverse effects)
- Anticonvulsants
(adverse effects)
- Child
- Child, Preschool
- Drug Hypersensitivity Syndrome
(drug therapy)
- Female
- Humans
- Immunoglobulins, Intravenous
(therapeutic use)
- Male
- Treatment Outcome
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