Table 1.
1 | Maculopapular rash developing > 3 weeks after starting with a limited number of drugs |
2 | Prolonged clinical symptoms 2 weeks after discontinuation of the causative drug |
3 | Fever (>38 °C) |
4 | Liver abnormalities (alanine aminotransferase > 100 U·L−1) a |
5 | Leukocyte abnormalities (at least one present) |
a | Leukocytosis (>11 × 109 L−1) |
b | Atypical lymphocytosis (>5%) |
c | Eosinophilia (>1.5 × 109 L−1) |
6 | Lymphadenopathy |
7 | Human herpesvirus 6 reactivation |
The diagnosis is confirmed by the presence of the seven criteria above (typical DIHS) or of the five (1~5) (atypical DIHS). a This can be replaced by other organ involvement, such as renal involvement.