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* |