DRESS syndrome physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Common physical examination findings of patients with DRESS syndrome include [[fever|high-grade fever]], diffuse exanthematous eruption, [[lymphadenopathy]], [[facial edema]], [[abdominal tenderness]], and [[hepatomegaly]]. | |||
==Physical Examination== | ==Physical Examination== | ||
Physical examination findings of patients with DRESS syndrome include the following: | Physical examination findings of patients with DRESS syndrome include the following: | ||
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===Skin=== | ===Skin=== | ||
*Rash is usually present. The following rashes have been described: | *Rash is usually present. The following rashes have been described: | ||
:* | :*Diffuse exanthematous eruption (most common) | ||
:*[[Erythema|Facial erythema]] | :*[[Erythema|Facial erythema]] | ||
:*[[Erythroderma]] | :*[[Erythroderma]] | ||
| Line 24: | Line 25: | ||
:*[[Blister|Blister formation]] | :*[[Blister|Blister formation]] | ||
:*[[Vesicle|Vesicle formation]] | :*[[Vesicle|Vesicle formation]] | ||
:*[[Cheilitis]] | :*[[Cheilitis]] | ||
:*Target lesions | |||
===HEENT=== | ===HEENT=== | ||
Revision as of 14:21, 21 September 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yazan Daaboul, M.D.; Serge Korjian M.D.
Overview
Common physical examination findings of patients with DRESS syndrome include high-grade fever, diffuse exanthematous eruption, lymphadenopathy, facial edema, abdominal tenderness, and hepatomegaly.
Physical Examination
Physical examination findings of patients with DRESS syndrome include the following:
General Appearance
- Patients typically appear sick-looking and tired
Vital Signs
- Fever (typically > 38 C)
- Tachycardia
- Tachypnea
Skin
- Rash is usually present. The following rashes have been described:
- Diffuse exanthematous eruption (most common)
- Facial erythema
- Erythroderma
- Urticaria
- Exfolative dermatitis
- Jaundice
- Accompanying skin lesions have also been described:
- Blister formation
- Vesicle formation
- Cheilitis
- Target lesions
HEENT
- Facial edema
- Oral and periral mucosal lesions
Neck
Abdomen
- Abdominal tenderness upon palpation of RUQ suggestive of hepatic involvement
- Hepatomegaly