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Origin and Function of Eosinophilic Polynuclear During DRESS Syndrome

Recruitingn/aAges 18 Years - anyAllUniversity Hospital, Lille
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In plain words

What the trial is, and whether it could suit you

Drug Hypersensitivity Syndrome or DRESS for "Drug Reaction with Eosinophilia and Systemic Symptoms" is a serious drug allergy which can be life-threatening for patients with serious organ damage. The pathophysiology of DRESS is still not fully understood. In particular, no study has focused on the characterization of eosinophils, while paradoxically eosinophilia is one of the diagnostic criteria. Likewise, there is no data about the origin of eosinophils and few data are available concerning immune polarization of T-cells or the involvement of innate lymphoid cells type 2 in the recruitment of eosinophils. Our preliminary data on increase activation markers membrane expression of cutaneous eosinophils suggest that this approach could allow the identification of endotypes in which eosinophils are involved and contribute to organ damages. The correlation between tissue infiltration of eosi

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📋 Eligibility rules (as published)
Inclusion Criteria: Group 1 (DRESS): adult with a diagnosis of DRESS based on the following four criteria: * Cutaneous rash occurring at least 24 hours and at most 2 months after continuous medication use * Fever over 38 degre celcius * At least one organ dysfunction among: * Lymphadenopathy * hepatitis * Pulmonary involvement * Cardiac involvement: myocarditis, pericarditis * Renal impairment * At least one of the following hematological anomalies: * Eosinophilia ≥ 500 / mm3 . * RegiSCAR Score ≥ 4 Groups 2 and 3 (Drug induced maculopapular exanthema without or with eosinophilia). * Adult with drug-induced rash * Without clinical criteria of severity defined by Djien among : * An evolution of more than 21 days * with organ damage as defined in group 1 Group 2 (MPE without eosinophilia): blood eosinophils \< 500 / mm3 Group 3 (MPE with eosinophilia): blood eosinophils ≥ 500 / mm3 Exclusion Criteria: * Other cause of eosinophilia including cancer, blood disease before the introduction of suspected molecule(s). * On going oral or local corticosteroid therapy, anti-leukotriene therapy (MONTELUKAST) by the month preceding the study; * Anti-IgE therapy (OMALIZUMAB, LIGELIZUMAB), anti-IL-5 therapy (MEPOLIZUMAB, BENRALIZUMAB) or anti-IL4 and / or anti-IL13 therapy (DUPILUMAB, TRALOKINUMAB) in the 6 months preceding the study. * Any pregnant or lactating woman. * Contraindication related to the blood volume taken for the study.
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What it tests

  • Not listed
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Where

11 sites
CH d'Arras
Arras, France
CH de Boulogne
Boulogne-sur-Mer, France
Assistance Publique - Hôpitaux de Paris - HENRI MONDOR
Créteil, France
CH de Douai
Douai, France
CH de Dunkerque
Dunkirk, France
CH LENS
Lens, France
Hop Claude Huriez Chr Lille
Lille, France
Groupe Hospitalier de l'Institut Catholique de Lille
Lille, France

…and 3 more on ClinicalTrials.gov.

🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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