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Myocarditis in drug rash with eosinophilia and systemic symptoms

Published online by Cambridge University Press:  19 September 2014

Cynthia H. Ho*
Affiliation:
Department of Pediatrics, Keck School of Medicine, Los Angeles County + University of Southern California Medical Center, Los Angeles, California, United States of America Department of Internal Medicine, Keck School of Medicine, Los Angeles County + University of Southern California Medical Center, Los Angeles, California, United States of America
Merujan Y. Uzunyan
Affiliation:
Department of Pediatrics, Keck School of Medicine, Los Angeles County + University of Southern California Medical Center, Los Angeles, California, United States of America Division of Cardiology, Keck School of Medicine, Los Angeles County + University of Southern California Medical Center, Los Angeles, California, United States of America
*
Correspondence to: C. H. Ho, MD, Keck School of Medicine, Los Angeles County+University of Southern California Medical Center, 2020 Zonal Avenue, IRD Room 109, Los Angeles, CA 90033, United States of America. Tel: +323 226 3691; Fax: +323 226 5692; E-mail: cynho@usc.edu

Abstract

Drug rash with eosinophilia and systemic symptoms is a drug hypersensitivity reaction. Hepatitis and nephritis are the most common visceral manifestations. Myocarditis is important to recognise, given the high mortality rate. We describe a child with drug rash with eosinophilia and systemic symptoms and discuss the role of N-terminal pro-hormone of basic natriuretic peptide in early recognition of associated myocarditis.

Type
Brief Reports
Copyright
© Cambridge University Press 2014 

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References

1. Kardaun, SH, Sekula, P, Valeyrie-Allanore, L, et al. Drug reaction with eosinophilia and systemic symptoms (DRESS): an original multisystem adverse drug reaction. Results from the prospective RegiSCAR study. Br J Dermatol 2013; 169: 10711080.CrossRefGoogle ScholarPubMed
2. Shiohara, T, Inaoka, M, Kano, Y. Drug-induced hypersensitivity syndrome (DIHS): a reaction induced by a complex interplay among herpesviruses and antiviral and antidrug immune responses. Allerg Int 2006; 55: 18.Google Scholar
3. Bourgeois, GP, Cafardi, JA, Groysman, V, Hughey, LC. A review of DRESS-associated myocarditis. J Am Acad Dermatol 2012; 66: e229e236.CrossRefGoogle ScholarPubMed
4. Bourgeois, GP, Cafardi, JA, Groysman, V, et al. Fulminant myocarditis as a late sequelae of DRESS – 2 cases. J Am Acad Dermatol 2011; 65: 889890.Google Scholar
5. Nir, A, Lindinger, A, Rauh, M, et al. NT-Pro-B-type natriuretic peptide in infants and children: reference values based on combined data from four studies. Pediatr Cardiol 2009; 30: 38.CrossRefGoogle ScholarPubMed
6. Nasser, N, Perles, Z, Rein, AJ, Nir, A. NT-proBNP as a marker for persistent cardiac disease in children with a history of dilated cardiomyopathy and myocarditis. Pediatr Cardiol 2006; 27: 8790.CrossRefGoogle ScholarPubMed
7. Mlczoch, E, Darbandi-Mesri, F, Luckner, D, Salzer-Muhar, U. NT-pro BNP in acute childhood myocarditis. J Pediatr 2012; 160: 178179.Google Scholar
8. Joly, P, Janela, B, Tetart, F, et al. Poor benefit/risk balance of intravenous immunoglobulins in DRESS. Arch Dermatol 2012; 148: 543544.Google Scholar
9. Singer, EM, Wanat, KA, Rosenbach, MA. A case of recalcitrant DRESS syndrome with multiple autoimmune sequelae treated with intravenous immunoglobulins. JAMA Dermatol 2013; 149: 494495.CrossRefGoogle ScholarPubMed
10. Chopra, S, Levell, NJ, Conley, G, Gilkes, JJ. Systemic corticosteroids in the phenytoin hypersensitivity syndrome. Br J Dermatol 1996; 134: 11091112.Google Scholar