Revista Espanola de Enfermedades Digestivas (Aug 2014)

DRESS syndrome secondary to ibuprofen as a cause of hyperacute liver failure

  • Valentín Roales-Gómez,
  • Aída Isabel Molero,
  • Inmaculada Pérez-Amarilla,
  • Sergio Casabona-Francés,
  • Enrique Rey-Díaz-Rubio,
  • Mercedes Catalán,
  • Francisco Vanaclocha,
  • Francisco Colina

Journal volume & issue
Vol. 106, no. 7
pp. 482 – 486

Abstract

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Acute liver failure has a high mortality and its most frequent cause in Spain is viral infection. In this article, we present a case of fulminant liver failure. The failure is secondary to an idiosyncratic reaction to ibuprofen, an entity included in the DRESS syndrome. This syndrome plays a key role in the differential diagnosis of acute liver failure, since its unfortunate course often requires liver transplantation as the only useful therapeutic weapon. This case illustrates the need for an efficient coordination between hospitals as a key factor for improving the prognosis.

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