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HK J Paediatr (New Series)
Vol 29. No. 3,
2024
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HK J Paediatr (New Series) 2024;29:164-170
Case Report
Traditional Chinese Medicine Induced DRESS Syndrome: A Case Report and Literature Review
SH Lau, JSC Wong, NC Fong, MYW Kwan Department of Paediatrics and Adolescent Medicine, Princess Margaret Hospital, 2-10 Princess Margaret Hospital Road, Lai Chi Kok, Kowloon, Hong Kong SAR, China SH Lau (劉瑞濠) MBBS, FHKCPaed, FHKAM(Paed) JSC Wong (黃頌智) MBBS, FHKCPaed, FHKAM(Paed) NC Fong (方乃聰) MBChB, FHKCPaed, FHKAM(Paed) MYW Kwan (關日華) FHKCPaed, FHKAM(Paed), MSc(Applied Epidemiology) CUHK Correspondence to: Dr SH Lau Email: lsh369@ha.org.hk Received July 27, 2023
Abstract Drug reaction with eosinophilia and systemic symptoms (DRESS) is a rare but potentially life-threatening drug related condition. Anti-epileptic agents and antibiotics are the most common culprit drugs. Delayed presentation and wide variety of clinical presentation make DRESS a diagnostic challenge. We reported a case of DRESS induced by Traditional Chinese Medicine. A detailed drug history with a high index of suspicion remains the key to early diagnosis. Keyword : DRESS syndrome; Hepatic dysfunction; Pleural effusion; Traditional Chinese Medicine
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