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Diagnosis is aided using probability calculators such as RegiSCAR (Registry of Severe Cutaneous Adverse Reaction), as well as clinical response on removing the responsible medication. Here, we present a case without any systemic organ dysfunction that improved with withdrawal of the offending drug vancomycin.<\/jats:p>","DOI":"10.1136\/bcr-2020-234251","type":"journal-article","created":{"date-parts":[[2020,5,12]],"date-time":"2020-05-12T06:01:50Z","timestamp":1589263310000},"page":"e234251","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["DRESS syndrome: an important differential for eosinophilia with systemic organ dysfunction"],"prefix":"10.1136","volume":"13","author":[{"given":"Whoasif","family":"Mukit","sequence":"first","affiliation":[{"name":"Respiratory Medicine, Shrewsbury and Telford Hospital NHS Trust, Telford, Shropshire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Cooper","sequence":"additional","affiliation":[{"name":"Respiratory Medicine, Shrewsbury and Telford Hospital NHS Trust, Telford, Shropshire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harmesh","family":"Moudgil","sequence":"additional","affiliation":[{"name":"Respiratory Medicine, Shrewsbury and Telford Hospital NHS Trust, Telford, Shropshire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nawaid","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Respiratory Medicine, Shrewsbury and Telford Hospital NHS Trust, Telford, Shropshire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,5,11]]},"reference":[{"key":"2025082706573574000_13.5.e234251.1","first-page":"31","article-title":"Drug reaction with eosinophilia and systemic symptoms (dress) syndrome","volume":"6","author":"Choudhary","year":"2013","journal-title":"J Clin Aesthet Dermatol"},{"key":"2025082706573574000_13.5.e234251.2","doi-asserted-by":"publisher","DOI":"10.1016\/S1085-5629(96)80038-1"},{"key":"2025082706573574000_13.5.e234251.3","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.jacme.2015.06.001","article-title":"A rare case of dress syndrome caused by vancomycin","volume":"5","author":"Pal","year":"2015","journal-title":"J Acute Med"},{"key":"2025082706573574000_13.5.e234251.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2013.01.033"},{"key":"2025082706573574000_13.5.e234251.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2011.01.017"},{"key":"2025082706573574000_13.5.e234251.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)03137-8"},{"key":"2025082706573574000_13.5.e234251.7","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.0409500102"},{"key":"2025082706573574000_13.5.e234251.8","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2133.1998.02559.x"},{"key":"2025082706573574000_13.5.e234251.9","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2133.1996.d01-912.x"},{"key":"2025082706573574000_13.5.e234251.10","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1995.00430210033005"},{"key":"2025082706573574000_13.5.e234251.11","doi-asserted-by":"crossref","DOI":"10.4103\/ijd.IJD_582_17","article-title":"Drug reaction with eosinophilia and systemic symptoms: an update and review of recent literature","volume":"63","author":"De","year":"2018","journal-title":"Indian J Dermatol"},{"key":"2025082706573574000_13.5.e234251.12","doi-asserted-by":"publisher","DOI":"10.4168\/aair.2014.6.3.216"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-234251","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T13:57:43Z","timestamp":1756303063000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-234251"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5]]},"references-count":12,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2020,5,11]]},"published-print":{"date-parts":[[2020,5]]}},"alternative-id":["10.1136\/bcr-2020-234251"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-234251","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5]]}}}