Abstract
Drug-induced delayed multiorgan hypersensitivity syndrome (DIDMOHS), also known as drug reaction (or rash) with eosinophilia and systemic symptoms (DRESS), drug-induced hypersensitivity syndrome (DIHS), or drug-related hypersensitivity syndrome (DHS) ) is a rare and potentially fatal drug-induced hypersensitivity reaction characterized by rash, fever, lymphadenopathy, haematological abnormalities, and visceral manifestations. Anticonvulsants such as carbamazepine, phenytoin, lamotrigine, and phenobarbital, as well as allopurinol and sulfonamides, are the most common causes of DIDMOHS. Impaired drug detoxification and herpesvirus reactivation play a key role in the pathogenesis of DIDMOHS. Human leukocyte antigen (HLA) haplotypes also contribute. Initial skin findings usually include a morbilliform rash characterized by diffuse, erythematous, itchy patches on the face, upper trunk, and upper extremities, which then spread to the lower extremities. Rapid confluence and progression are characteristic. DIDMOHS commonly affects the lymphatic, hematologic and hepatic systems. Renal, pulmonary and cardiac dysfunctions can also occur. Early detection and diagnosis, with immediate discontinuation of the offending drug, are of paramount importance. Corticosteroid therapy is widely recognized as the cornerstone of the treatment of DIDMOHS. In the future, haplotyping and assays such as the lymphocyte transformation test (LTT) will help in the primary prevention and diagnosis of DIDMOHS. New steroid-sparing immunomodulatory agents also have significant therapeutic potential.
Ursprache | American English) |
---|---|
Guest post title | Skin eruptions caused by drugs: diagnosis, histopathology and treatment |
editor | Springer-Verlag Londres Ltda. |
pages | 271-279 |
page number | 9 |
ISBN (print) | 9781447167297, 9781447167280 |
Of the | |
Illness | Published -August 21, 2015 |
key words
- corticosteroids
- Cytochrome P450
- drug allergy
- drug outbreak
- Drug reaction with eosinophilia and systemic symptoms (DRESS)
- Drug-Induced Delayed Multiorgan Hypersensitivity Syndrome (DIDMOHS)
- Drug-Induced Hypersensitivity Syndrome (DIHS)
- eosinophilia
- Erythroderma-Herpesvirus
- Human leukocyte antigen (HLA) haplotype.
ASJC Scopus subject areas
- medicine (all)
- Pharmacology, Toxicology and Pharmacy (all)
- Immunology and Microbiology (all)
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Klimas, N., Quintanilla-Dieck, J.(2015).Drug-induced delayed multiorgan hypersensitivity syndrome. EmSkin eruptions caused by drugs: diagnosis, histopathology and treatment(pp. 271-279). Springer-Verlag Londres Ltda.https://doi.org/10.1007/978-1-4471-6729-7_25
Drug-induced delayed multiorgan hypersensitivity syndrome./ Klimas, Natascha; Quintanilla-Dieck, Josephine; Vandergrif, Travis Vandergrif.
Drug eruptions: diagnosis, histopathology and treatment. Springer-Verlag London Ltd, 2015. p. 271-279.
search result:Book chapter/report/processes›Chapter
Klimas, N., Quintanilla-Dieck, J.2015,Drug-induced delayed multiorgan hypersensitivity syndrome. EmDrug eruptions: diagnosis, histopathology and treatment.Springer-Verlag London Ltd, S. 271-279.https://doi.org/10.1007/978-1-4471-6729-7_25
Klimas N, Quintanilla-Dieck J, Vandergriff-TV.Drug-induced delayed multiorgan hypersensitivity syndrome. For drug rashes: diagnosis, histopathology and therapy. Springer Verlag London Ltd. 2015. p. 271-279 doi: 10.1007/978-1-4471-6729-7_25
Klimas, Natascha; Quintanilla-Dieck, Josephine; Vandergrif, Travis Vandergrif. /Drug-induced delayed multiorgan hypersensitivity syndrome. Drug eruptions: diagnosis, histopathology and treatment. Springer-Verlag London Ltd, 2015. pp. 271-279
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title="Drug-Induced Delayed Multiorgan Hypersensitivity Syndrome",
abstract = "Drug-Induced Delayed Multiorgan Hypersensitivity Syndrome (DIDMOHS), also known as Drug Reaction (or Rash) with Eosinophilia and Systemic Symptoms (DRESS), Drug-Induced Hypersensitivity Syndrome (DIHS) or Anticonvulsant Drug-Induced Hypersensitivity Syndrome such as carbamazepine, phenytoin, lamotrigine, and phenobarbital, as well as anticonvulsants such as carbamazepine, phenytoin, lamotrigine, and phenobarbital, such as allopurinol and sulfonamides, are the most common causes of DIDMOHS drug detoxification, and herpes virus reactivation plays a key role in the pathogenesis of DIDMOHS Leukocyte antigen (HLA) haplotypes also contribute Initial skin findings usually include a morbilliform rash characterized by diffuse, erythematous, and pruritic s characterized on the upper face, trunk, and upper extremities with posterior extension to the lower extremities es, rapid confluence and progression are characteristic. DIDMOHS commonly affects the lymphatic, hematologic and hepatic systems. Renal, pulmonary and cardiac dysfunctions can also occur. Early detection and diagnosis, with immediate discontinuation of the offending drug, are of paramount importance. Corticosteroid therapy is widely recognized as the cornerstone of the treatment of DIDMOHS. In the future, haplotyping and assays such as the lymphocyte transformation test (LTT) will help in the primary prevention and diagnosis of DIDMOHS. New steroid-sparing immunomodulatory agents also have significant therapeutic potential.",
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N2: Drug-induced delayed multiorgan hypersensitivity syndrome (DIDMOHS), also known as drug reaction (or rash) with eosinophilia and systemic symptoms (DRESS), drug-induced hypersensitivity syndrome (DIHS), or drug hypersensitivity syndrome (DHS) . a rare and potentially fatal drug-induced hypersensitivity reaction characterized by rash, fever, lymphadenopathy, haematological abnormalities, and visceral manifestations. Anticonvulsants such as carbamazepine, phenytoin, lamotrigine, and phenobarbital, as well as allopurinol and sulfonamides, are the most common causes of DIDMOHS. Impaired drug detoxification and herpesvirus reactivation play a key role in the pathogenesis of DIDMOHS. Human leukocyte antigen (HLA) haplotypes also contribute. Initial skin findings usually include a morbilliform rash characterized by diffuse, erythematous, itchy patches on the face, upper trunk, and upper extremities, which then spread to the lower extremities. Rapid confluence and progression are characteristic. DIDMOHS commonly affects the lymphatic, hematologic and hepatic systems. Renal, pulmonary and cardiac dysfunctions can also occur. Early detection and diagnosis, with immediate discontinuation of the offending drug, are of paramount importance. Corticosteroid therapy is widely recognized as the cornerstone of the treatment of DIDMOHS. In the future, haplotyping and assays such as the lymphocyte transformation test (LTT) will help in the primary prevention and diagnosis of DIDMOHS. New steroid-sparing immunomodulatory agents also have significant therapeutic potential.
AB: Drug-induced delayed multiorgan hypersensitivity syndrome (DIDMOHS), also known as drug reaction (or rash) with eosinophilia and systemic symptoms (DRESS), drug-induced hypersensitivity syndrome (DIHS), or drug hypersensitivity syndrome (DHS) . a rare and potentially fatal drug-induced hypersensitivity reaction characterized by rash, fever, lymphadenopathy, haematological abnormalities, and visceral manifestations. Anticonvulsants such as carbamazepine, phenytoin, lamotrigine, and phenobarbital, as well as allopurinol and sulfonamides, are the most common causes of DIDMOHS. Impaired drug detoxification and herpesvirus reactivation play a key role in the pathogenesis of DIDMOHS. Human leukocyte antigen (HLA) haplotypes also contribute. Initial skin findings usually include a morbilliform rash characterized by diffuse, erythematous, itchy patches on the face, upper trunk, and upper extremities, which then spread to the lower extremities. Rapid confluence and progression are characteristic. DIDMOHS commonly affects the lymphatic, hematologic and hepatic systems. Renal, pulmonary and cardiac dysfunctions can also occur. Early detection and diagnosis, with immediate discontinuation of the offending drug, are of paramount importance. Corticosteroid therapy is widely recognized as the cornerstone of the treatment of DIDMOHS. In the future, haplotyping and assays such as the lymphocyte transformation test (LTT) will help in the primary prevention and diagnosis of DIDMOHS. New steroid-sparing immunomodulatory agents also have significant therapeutic potential.
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KW - Drug-Induced Hypersensitivity Syndrome (DIHS)
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KW – Erythroderma-Herpesvirus
KW - Human leukocyte antigen (HLA) haplotype.
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