Drug reaction with eosinophilia and systemic symptoms (DRESS) associated with levetiracetam: case report.

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Drug reaction with eosinophilia and systemic symptoms (DRESS) is a very rare syndrome characterized by skin rash, eosinophilia and systemic compromise. This was initially described in association with antiseizures drugs, but later it was described in association with other drugs. Among antiseizure d...

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Detalles Bibliográficos
Autores: Barreto-Acevedo, Elliot, Becerra-Zegarra, Alicia, Villafuerte-Espinoza, Mirla
Formato: artículo
Fecha de Publicación:2022
Institución:Colegio Médico del Perú
Repositorio:Acta Médica Peruana
Lenguaje:español
OAI Identifier:oai:ojs.pkp.sfu.ca:article/2167
Enlace del recurso:https://amp.cmp.org.pe/index.php/AMP/article/view/2167
Nivel de acceso:acceso abierto
Materia:Drug hypersensitivity
Levetiracetam
Epilepsy
Peru
DRESS
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spelling Drug reaction with eosinophilia and systemic symptoms (DRESS) associated with levetiracetam: case report.Sindrome de reacción a medicamento con eosinofilia y síntomas sistémicos (DRESS) asociado a levetiracetam: reporte de caso.Barreto-Acevedo, ElliotBecerra-Zegarra, AliciaVillafuerte-Espinoza, MirlaDrug hypersensitivityLevetiracetamEpilepsyPeruDRESSDrug reaction with eosinophilia and systemic symptoms (DRESS) is a very rare syndrome characterized by skin rash, eosinophilia and systemic compromise. This was initially described in association with antiseizures drugs, but later it was described in association with other drugs. Among antiseizure drugs, it has been described association with aromatic drugs as phenytoin, carbamazepine, phenobarbital, oxcarbazepine and lamotrigine; and non-aromatic antiseizure drugs as gabapentin, zonisamide, valproate, rufinamide and rarely to levetiracetam. The severity of the syndrome is related to the time of exposure to the drug, so early detection is of vital importance. We describe the first case in our country, of a patient with DRESS induced by levetiracetam, and we review the infrequent scientific reports of DRESS in patients exposed to levetiracetam.El síndrome de hipersensibilidad a medicamentos, con eosinofilia y síntomas sistémicos (DRESS de sus siglas en inglés) es un síndrome muy infrecuente que se caracteriza por erupción dérmica, eosinofilia y compromiso sistémico. Inicialmente fue descrito asociado a medicamentos anticrisis (antiepilépticos), pero posteriormente ha sido descrito en asociación a otros medicamentos. Entre los medicamentos anticrisis, se ha descrito predominantemente su asociación a fármacos aromáticos o con estructura similar: fenitoína, carbamazepina, fenobarbital, oxcarbazepina y lamotrigina. Entre los medicamentos anticrisis no aromáticos, se ha descrito su presentación en algunos pacientes expuestos a gabapentina, zonisamida, valproato, rufinamida y raramente a levetiracetam. La severidad del síndrome se relaciona al tiempo de exposición al fármaco, por lo que su detección precoz es de vital importancia. Describimos el primer caso en nuestro país, de un paciente con DRESS inducido por levetiracetam y revisamos los infrecuentes reportes de DRESS en pacientes expuestos a levetiracetam descritos en la literatura.Colegio Médico del Perú2022-09-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://amp.cmp.org.pe/index.php/AMP/article/view/216710.35663/amp.2022.393.2167ACTA MEDICA PERUANA; Vol 39 No 3 (2022): July - SeptemberACTA MEDICA PERUANA; Vol. 39 Núm. 3 (2022): Julio - Setiembre1728-59171018-8800reponame:Acta Médica Peruanainstname:Colegio Médico del Perúinstacron:CMPspahttps://amp.cmp.org.pe/index.php/AMP/article/view/2167/1475Copyright (c) 2022 ACTA MEDICA PERUANAinfo:eu-repo/semantics/openAccessoai:ojs.pkp.sfu.ca:article/21672023-08-02T21:08:44Z
dc.title.none.fl_str_mv Drug reaction with eosinophilia and systemic symptoms (DRESS) associated with levetiracetam: case report.
Sindrome de reacción a medicamento con eosinofilia y síntomas sistémicos (DRESS) asociado a levetiracetam: reporte de caso.
title Drug reaction with eosinophilia and systemic symptoms (DRESS) associated with levetiracetam: case report.
spellingShingle Drug reaction with eosinophilia and systemic symptoms (DRESS) associated with levetiracetam: case report.
Barreto-Acevedo, Elliot
Drug hypersensitivity
Levetiracetam
Epilepsy
Peru
DRESS
title_short Drug reaction with eosinophilia and systemic symptoms (DRESS) associated with levetiracetam: case report.
title_full Drug reaction with eosinophilia and systemic symptoms (DRESS) associated with levetiracetam: case report.
title_fullStr Drug reaction with eosinophilia and systemic symptoms (DRESS) associated with levetiracetam: case report.
title_full_unstemmed Drug reaction with eosinophilia and systemic symptoms (DRESS) associated with levetiracetam: case report.
title_sort Drug reaction with eosinophilia and systemic symptoms (DRESS) associated with levetiracetam: case report.
dc.creator.none.fl_str_mv Barreto-Acevedo, Elliot
Becerra-Zegarra, Alicia
Villafuerte-Espinoza, Mirla
author Barreto-Acevedo, Elliot
author_facet Barreto-Acevedo, Elliot
Becerra-Zegarra, Alicia
Villafuerte-Espinoza, Mirla
author_role author
author2 Becerra-Zegarra, Alicia
Villafuerte-Espinoza, Mirla
author2_role author
author
dc.subject.none.fl_str_mv Drug hypersensitivity
Levetiracetam
Epilepsy
Peru
DRESS
topic Drug hypersensitivity
Levetiracetam
Epilepsy
Peru
DRESS
description Drug reaction with eosinophilia and systemic symptoms (DRESS) is a very rare syndrome characterized by skin rash, eosinophilia and systemic compromise. This was initially described in association with antiseizures drugs, but later it was described in association with other drugs. Among antiseizure drugs, it has been described association with aromatic drugs as phenytoin, carbamazepine, phenobarbital, oxcarbazepine and lamotrigine; and non-aromatic antiseizure drugs as gabapentin, zonisamide, valproate, rufinamide and rarely to levetiracetam. The severity of the syndrome is related to the time of exposure to the drug, so early detection is of vital importance. We describe the first case in our country, of a patient with DRESS induced by levetiracetam, and we review the infrequent scientific reports of DRESS in patients exposed to levetiracetam.
publishDate 2022
dc.date.none.fl_str_mv 2022-09-29
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://amp.cmp.org.pe/index.php/AMP/article/view/2167
10.35663/amp.2022.393.2167
url https://amp.cmp.org.pe/index.php/AMP/article/view/2167
identifier_str_mv 10.35663/amp.2022.393.2167
dc.language.none.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv https://amp.cmp.org.pe/index.php/AMP/article/view/2167/1475
dc.rights.none.fl_str_mv Copyright (c) 2022 ACTA MEDICA PERUANA
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 ACTA MEDICA PERUANA
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Colegio Médico del Perú
publisher.none.fl_str_mv Colegio Médico del Perú
dc.source.none.fl_str_mv ACTA MEDICA PERUANA; Vol 39 No 3 (2022): July - September
ACTA MEDICA PERUANA; Vol. 39 Núm. 3 (2022): Julio - Setiembre
1728-5917
1018-8800
reponame:Acta Médica Peruana
instname:Colegio Médico del Perú
instacron:CMP
instname_str Colegio Médico del Perú
instacron_str CMP
institution CMP
reponame_str Acta Médica Peruana
collection Acta Médica Peruana
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 13.902482
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