Evidence map›Paper›PMID 31562941›Full record

ArticleJournal of the American Academy of Dermatology2020

Drug reaction with eosinophilia and systemic symptoms may occur within 2 weeks of drug exposure: A retrospective study.

Angèle Soria, Claire Bernier, Gwenaelle Veyrac, Annick Barbaud, Etienne Puymirat, Brigitte Milpied

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Article in Journal of the American Academy of Dermatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed.

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  16. DRESS syndrome due to iodinated contrast media. A case report.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2023
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  17. Review
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  20. DRESS characteristics according to the causative medication.European journal of clinical pharmacology · 2022
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Angèle SoriaService de Dermatologie et d'Allergologie, Hôpital Tenon, Paris Groupe Hospitalo-Universitaire de l'Est Parisien (HUEP), Assistance Publique Hôpitaux de Paris (APHP), Paris, France Sorbonne Universités, Paris, France; Centre d'Immunologie et des Maladies Infectieuses-Paris (Cimi-Paris), INSERM U1135, Paris, France. Electronic address: angele.soria@aphp.fr.
Claire BernierService de Dermatologie, Hôpital Hôtel Dieu, Centre Hospitalier Universitaire (CHU) Nantes, Nantes, France.
Gwenaelle VeyracService de Pharmacologie, Centre Hospitalier Universitaire (CHU) Nantes, Nantes, France.
Annick BarbaudService de Dermatologie et d'Allergologie, Hôpital Tenon, Paris Groupe Hospitalo-Universitaire de l'Est Parisien (HUEP), Assistance Publique Hôpitaux de Paris (APHP), Paris, France Sorbonne Universités, Paris, France.
Etienne PuymiratAssistance Publique-Hôpitaux de Paris, Hôpital Européen Georges Pompidou, Département de Cardiologie, Paris, France.
Brigitte MilpiedService de Dermatologie, Hôpital Saint André, Bordeaux, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiagnosing drug reaction with eosinophilia and systemic symptoms (DRESS) is challenging. Some clinicians reject this diagnosis when the delay of onset is less than 15 days after drug intake.

objectivesTo assess the delay of DRESS occurrence and culprit drugs.

methodsAll patients hospitalized in 3 dermatology departments with a first occurrence of DRESS for which a drug was highly suspected were included in this retrospective study. Based on the delay in DRESS occurrence, cases were classified into 2 groups: a rapid-onset group (≤15 days after exposure) and a delayed-onset group (>15 days).

resultsA total of 41 patients with DRESS were included: 14 in the rapid-onset and 27 in delayed-onset groups. In the rapid-onset group, antibiotics (n = 6/14) and iodinated contrast media (n = 5/5) were the predominant culprits. Carbamazepine (n = 4/4), lamotrigine (n = 6/6), allopurinol (n = 8/8), and sulfasalazine (n = 2/2) were exclusively found in the delayed-onset group. LIMITATIONS: The retrospective nature, limited number of participants, and lack of detailed information on previous exposure to sensitizing drugs in some instances.

conclusionsDRESS is frequently related to drugs introduced 15 or fewer days before the occurrence of cutaneous adverse reactions. The time of onset of DRESS may differ depending on the medications involved.

Indexed as

AdultAgedAllopurinolAnti-Bacterial AgentsContrast MediaDrug Hypersensitivity SyndromeFemaleFranceHumansMaleMiddle AgedRetrospective StudiesSulfasalazineTime FactorsAllopurinolAnti-Bacterial AgentsContrast MediaSulfasalazineallopurinolantibioticscarbamazepinedelay of occurrencediagnosis criteriaDRESSdrug allergyiodinated contrast medialamotrigine

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.