Reevaluating the Approach to Severe Cutaneous Adverse Reactions (SCARs): Is Drug Rechallenge Always Off the Table?

Severe Cutaneous Adverse Reactions (SCARs), such as acute generalized exanthematous pustulosis (AGEP), Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS), and Stevens-Johnson Syndrome (SJS), are among the most feared drug-related complications. These conditions can result in devastating outcomes, and the conventional approach to managing SCARs emphasizes strict avoidance of the suspected culprit drug to prevent potentially fatal recurrences. But is avoidance always the only path forward? Could there be room for a more nuanced strategy in specific cases? Not All SCARs Are Created Equal SCARs represent a spectrum of disorders,…

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Drug Allergy Testing: A Comprehensive Guide

Available Drug Allergy Skin Tests Drug allergy skin tests play a crucial role in diagnosing potential allergic reactions to medications. Among the most common tests are the prick test, intradermal test, and patch test. Each of these tests has specific methodologies, applications, and diagnostic capabilities. The prick test, also known as a scratch test, is frequently used to identify immediate allergic reactions. During this test, a small amount of the suspected allergen is placed on the skin, usually on the forearm or back, and the skin is lightly pricked with…

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