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3 DRESS syndrome can have systemic involvement to include: 2 Acute hepatitis ( most common ) Interstitial nephritis Interstitial pneumonitis Myocarditis hypersensitivity or acute necrotizing eosinophilic myocarditis (ANEM) While majority cases are mild to moderate, severe DRESS can present with acute renal failure, acute respiratory distress syndrome (ARDS), liver failure, and sepsis
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