PMC6035812_01
Initial distribution of the characteristic morbilliform rash of DRESS syndrome, progressing downwards from the face and arms. Also visible, left nephrectomy scar.
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He developed a maculopapular morbilliform rash, (Figure 1) initially on the right arm and scalp, before spreading to cover the entire head, trunk, and upper legs (Figure 2) which progressed to become exfoliative and was intensely pruritic and painful (Figure 3).
Progression of the macular rash down the body in a typical DRESS distribution.
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He developed a maculopapular morbilliform rash, (Figure 1) initially on the right arm and scalp, before spreading to cover the entire head, trunk, and upper legs (Figure 2) which progressed to become exfoliative and was intensely pruritic and painful (Figure 3).
Progression of the rash to a confluent, exfoliative dermatitis after several days.
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He developed a maculopapular morbilliform rash, (Figure 1) initially on the right arm and scalp, before spreading to cover the entire head, trunk, and upper legs (Figure 2) which progressed to become exfoliative and was intensely pruritic and painful (Figure 3).
Exfoliative rash following treatment with topical steroids.
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The patient initially received a single dose of intravenous high-dose hydrocortisone, but due to the severity of infection and the risk of immunosuppression, he was subsequently treated exclusively with topical steroids, emollients, and antihistamines (Figure 4).