Evidence map›Paper›PMID 37632913›Full record

ArticleJMIR dermatology2023

Cyclosporine in the Treatment of Drug Reaction With Eosinophilia and Systemic Symptoms Syndrome: Retrospective Cohort Study.

Sophia Zita, Lindsey Broussard, Jeremy Hugh, Sabrina Newman

Open access · diamondAbstract read
In one paragraph

Article in JMIR dermatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.9field-weighted citation impact, top 15% of its field
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

6 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Sophia ZitaDepartment of Dermatology, University of Colorado, Aurora, CO, United States.ORCID https://orcid.org/0000-0003-4907-4337
Lindsey BroussardDepartment of Dermatology, University of Colorado, Aurora, CO, United States.ORCID https://orcid.org/0009-0008-4216-6152
Jeremy HughDepartment of Dermatology, Stony Brook University, Stony Brook, NY, United States.ORCID https://orcid.org/0000-0002-0860-1201
Sabrina NewmanSkinMed Institute, Lone Tree, CO, United States.ORCID https://orcid.org/0009-0005-4946-9541
University of Colorado Anschutz Medical Campus · USStony Brook University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDrug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a severe, life-threatening reaction to a culprit drug that frequently involves end-organ damage. Corticosteroids are the first-line treatment for DRESS syndrome; however, corticosteroids may be contraindicated in certain patient populations. There are currently only 54 cases detailing the use of cyclosporine for the treatment of DRESS syndrome reported in the literature.

objectiveThe aim of this case series was to examine the treatment of DRESS syndrome with cyclosporine in a large patient cohort by aggregating time to symptom resolution, recurrence rate, and treatment dose and duration.

methodsThis study was a retrospective cohort study. Patients diagnosed with DRESS syndrome by a board-certified dermatologist and treated at the University of Colorado Hospital from 2015 to 2019 were included.

resultsOur inclusion criterion was met by 19 occurrences of DRESS syndrome. With a short course of cyclosporine, 17 of 19 patients in our cohort (89%) had resolution of symptoms (mean treatment length of 5.26 days). DRESS syndrome's relapse after treatment with cyclosporine occurred in 3 of 19 (16%) occurrences of the cohort.

conclusionsOur study supports the use of cyclosporine in the treatment of DRESS syndrome, particularly in patients who are unable to sustain prolonged immunosuppression. Further research is necessary to compare the efficacy of cyclosporine to the current standard of care in a larger study population and investigate long-term outcomes.

Indexed as

adverse reactioncase seriescohort studycyclosporinedermatologydrug-induceddrug-induced hypersensitivity syndromedrug reactiondrug reactionsdrug reaction with eosinophilia and systemic symptomsdrugseosinophileosinophiliaeosinophilspharmaceuticpharmacologypharmacyrashskinSystemic Symptomstreatment

Identifiers

PMID37632913
PMCPMC10401189
OpenAlexW4380632722

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.