Question

A 62-year-old man is started on Allopurinol for gout. Three weeks later, he develops a widespread maculopapular rash, fever, and malaise. Blood tests show: Eosinophilia, ALT 250 U/L, Creatinine 200 µmol/L. What is the most likely diagnosis?

Accepted Answer

Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) syndrome

Answer

Acute gout flare

Answer

Psoriatic arthritis

Answer

Septic arthritis

Answer

Stevens-Johnson Syndrome (SJS)

Practice question

A 62-year-old man is started on Allopurinol for gout. Three weeks later, he develops a widespread maculopapular rash, fever, and malaise. Blood tests show: Eosinophilia, ALT 250 U/L, Creatinine 200 µmol/L. What is the most likely diagnosis?