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. 2019;90(Suppl 3):66–79. doi: 10.23750/abm.v90i3-S.8167

Table 3.

Three proposed diagnostic criteria of DRESS syndrome

Bocquet et al. (1) RegiSCAR (7) J-SCAR (129)
Requirement for diagnosis ≥3 criteria ≥3 criteria of the following asterisk marks all 7 criteria = typical
without 2 asterisk marks = atypical
History - hospitalization
- reaction suspected to be drug related
- symptoms persisting at least 2 weeks after drug discontinuation
Fever - fever ≥38°C* - fever ≥38°C
Cutaneous finding - acute drug eruption - acute rash - macular rash developing 3 weeks after starting offending drug
Hematologic
abnormalities
- eosinophilia >1.5×109/L or atypical lymphocytosis one of the following hematologic abnormalities
- eosinophilia over laboratory limits
- lymphocyte count over and under normal limits
- thrombocytopenia under laboratory limits
one of the following hematologic abnormalities
- leucocytosis (>11×109 /L)
- atypical lymphocytes (>5%)
- eosinophilia (>1.5×109 /L)
Other organ involvements - lymphadenopathy ≥2 cm in diameter
- hepatitis with liver transaminases ≥2 times of the normal values
- interstitial nephritis
- interstitial pneumonitis
- carditis
- lymphadenopathy involving ≥2 sites*
- at least 1 internal organ involvement*
- lymphadenopathy*
- liver abnormalities (ALT >100 U/L)
Viral reactivation - HHV-6 reactivation*