DRESS syndrome: Addressing the drug hypersensitivity syndrome on combination of Sodium Valproate and Olanzapine

Asian J Psychiatr. 2017 Aug:28:175-176. doi: 10.1016/j.ajp.2017.05.015. Epub 2017 May 20.

Abstract

A case of an adolescent with symptoms of Mania, who developed Drug Reaction with Eosinophilia and Systemic Symptom (DRESS) syndrome on exposure to combination of oral Olanzapine and Sodium Valproate is presented. We have attempted to highlight the atypical presentation of DRESS syndrome in this patient as well as management difficulties in patient who develops DRESS syndrome with the conventional psychotropic medication. Hence, it is necessary for mental health professionals to be vigilant about this life threatening drug reaction associated with high morbidity and mortality, thus ensuring prompt diagnosis and management.

Keywords: DRESS syndrome; Olanzapine; Sodium Valproate.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Adolescent
  • Antimanic Agents / adverse effects*
  • Antipsychotic Agents / adverse effects*
  • Benzodiazepines / adverse effects*
  • Bipolar Disorder / drug therapy*
  • Drug Hypersensitivity Syndrome / etiology*
  • Drug Therapy, Combination / adverse effects*
  • Humans
  • Male
  • Olanzapine
  • Valproic Acid / adverse effects*

Substances

  • Antimanic Agents
  • Antipsychotic Agents
  • Benzodiazepines
  • Valproic Acid
  • Olanzapine