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Dapsone syndrome--a five year retrospective analysis

R H Kumar1, M V Kumar, D M Thappa

  • 1Dept. of Dermatology and STD, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry.

Indian Journal of Leprosy
|November 5, 1998
PubMed
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Dapsone syndrome, a severe adverse reaction to dapsone medication, presents with diverse symptoms including fever and skin lesions. Most patients recover with conservative treatment or corticosteroids.

Area of Science:

  • Dermatology
  • Pharmacology
  • Internal Medicine

Background:

  • Dapsone is a crucial medication for treating leprosy and other dermatological conditions.
  • Dapsone syndrome is a rare but serious hypersensitivity reaction to dapsone therapy.
  • Understanding the clinical spectrum and management of dapsone syndrome is vital for patient safety.

Purpose of the Study:

  • To analyze the clinical characteristics, manifestations, and outcomes of dapsone syndrome.
  • To identify key diagnostic indicators and management strategies for dapsone syndrome.
  • To evaluate the reliability of diagnostic tests for dapsone syndrome.

Main Methods:

  • Retrospective case series analysis of 17 patients diagnosed with dapsone syndrome between 1992 and 1997.

Related Experiment Videos

  • Clinical data collection including patient demographics, dapsone exposure, symptom onset, clinical presentation, laboratory findings, and treatment outcomes.
  • Review of diagnostic test results, including oral provocation and intradermal testing.
  • Main Results:

    • Seventeen cases of dapsone syndrome were identified, with a mean age of 27.8 years and a male to female ratio of 1.1:1.
    • Common manifestations included fever (16 cases), pruritus (15 cases), lymphadenopathy (14 cases), hepatomegaly (10 cases), and various cutaneous lesions.
    • Elevated ESR and liver enzymes were consistent findings; eight cases showed raised bilirubin and hemolytic anemia. Most patients achieved favorable outcomes with conservative management or oral corticosteroids.

    Conclusions:

    • Dapsone syndrome presents with a wide array of systemic and cutaneous manifestations, often mimicking other conditions.
    • Prompt recognition and discontinuation of dapsone are crucial for managing dapsone syndrome.
    • Conservative management or oral corticosteroids are effective treatment strategies, leading to favorable outcomes in most cases.