Síndrome de DRESS: Uma Revisão Baseada num Caso Clínico
DOI:
https://doi.org/10.24950/rspmi.2353Keywords:
Exantema, Período Pós-Parto, Síndrome de Hipersensibilidade a MedicamentosAbstract
A síndrome DRESS é uma doença rara, mas potencialmente fatal, que pode cursar com erupções cutâneas e envolvimento multiorgânico.
Relatamos o caso de uma puérpera de 28 anos que desenvolveu exantema cutâneo 2 meses após o parto por cesariana, com dores musculares, odinofagia, tosse e febre. A erupção cutânea começou nos membros inferiores e progrediu
por todo o corpo. Foi medicada com ceftriaxone durante o parto, tendo também histórico de uso de diclofenac e metildopa. Pontuou 6 no score RegiSCAR, confirmando o diagnóstico de síndrome DRESS. A paciente também desenvolveu hepatite tóxica, motivando tratamento com corticoterapia
intravenosa. Após 2 semanas de tratamento e evicção dos fármacos responsáveis, teve alta com melhora clínica e laboratorial.
Este caso destaca a importância do diagnóstico e tratamento imediatos das reações farmacológicas tardias, especialmente da síndrome DRESS, cujo diagnóstico pode ser desafiador devido à sua apresentação tardia.
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