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Case Reports
. 2015 Dec;40(6):689-92.
doi: 10.1111/jcpt.12322. Epub 2015 Sep 14.

Febuxostat-associated drug reaction with eosinophilia and systemic symptoms (DRESS)

Affiliations
Case Reports

Febuxostat-associated drug reaction with eosinophilia and systemic symptoms (DRESS)

H-Y Chou et al. J Clin Pharm Ther. 2015 Dec.

Abstract

What is known and objective: Febuxostat is recommended as an alternative drug for gouty patients with a history of allopurinol hypersensitivity or carrying the HLA-B*5801 allele.

Case summary: An 81-year-old man with the medical history of gout presented to our clinic with generalized rashes for 2 days. After taking febuxostat for 2 days, he developed generalized skin rash with high fever. Laboratory tests showed elevated liver enzymes and acute kidney injury.

What is known and objective: This is the first identified case of febuxostat-associated DRESS. Febuxostat should be withdrawn immediately when DRESS is observed to avoid further serious complications.

Keywords: Febuxostat; adverse drug reaction; drug reaction with eosinophilia and systemic symptoms.

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