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During this time, complete blood cell count, liver function tests, lymph nodes, and other organ-specific laboratory tests should be monitored carefully to detect potential relapse, and steroid doses should be adjusted accordingly.[36] Intravenous immunoglobulin (IVIG) was tried in DRESS syndrome, especially in cases who do not respond to systemic steroids or where steroid was contraindicated.[41] There are many case reports of DRESS syndrome which were successfully treated with IVIG.[41,42,43] However, a study by Joly et al of six patients with DRESS syndrome failed to demonstrate superiority of IVIG and four of the six patients had to be treated with oral corticosteroids because of the adverse effects of IVIG or uncontrolled DRESS syndrome.[44] Other modalities of treatment tried in DRESS are plasmapheresis and immunosuppressive drugs, such as cyclophosphamide, cyclosporine, interferons, mycophenolate mofetil, and rituximab.[36] Cyclophosphamide[45] and cyclosporins[46] were used in isolated case reports of DRESS with success

Where: 1706 Martin Luther King Jr Blvd, Dallas, TX 75215 15
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