Case Report
Successful Treatment of Antiepileptic Drug-Induced DRESS Syndrome with Pulse Methylprednisolone
Table 1
Scoring system for classifying the cases of DRESS as possible, probable, or definite.
| | Scores | Case | Case | Case |
| | Fever 38.5°C | 0 | 0 | 0 | | Enlarged lymph nodes | 0 | 1 | 1 | Eosinophils
0.7–1.49 103/mm3 = 1, 103/mm3 = 2 | — | 1 | 1 | If leucocytes < 4 × 103/mm3
Eosinophils, 10–19.9% = 1, ≥20% = 2 | 1 | — | — | | Atypical lymphocytes | 1 | 1 | 1 | | Skin rash extent (>50% body surface area) | 1 | 1 | 1 | | Skin rash suggesting DRESS | 1 | 1 | 1 | | Organ involvement | 1 | 1 | — | | Resolution 15 days | 0 | 0 | −1 |
| | Total score | 5 | 6 | 4 |
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Final score 2, no case; final score 2-3, possible case; final score 4-5, probable case; final score > 5, definite case.
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