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 eosinophils and their degree of activation would then justify the development of targeted therapeutic strategies in DRESS syndrome (anti-IL-5 therapy?). The aim of the project is: 1) Evaluate the activation status of circulating and cutaneous eosinophils in patients with DRESS compared with drug induced maculopapular exanthema without or with eosinophilia (but do not fulfill DRESS criteria) and healthy subjects; 2) Understand the pathophysiological mechanisms at the origin of this eosinophilia.
Study Type
OBSERVATIONAL
Enrollment
80
CH d'Arras
Arras, France
RECRUITINGCH de Boulogne
Boulogne-sur-Mer, France
RECRUITINGAssistance Publique - Hôpitaux de Paris - HENRI MONDOR
Créteil, France
RECRUITINGCH de Douai
Douai, France
RECRUITINGCH de Dunkerque
Dunkirk, France
RECRUITINGCH LENS
Lens, France
RECRUITINGHop Claude Huriez Chr Lille
Lille, France
RECRUITINGGroupe Hospitalier de l'Institut Catholique de Lille
Lille, France
RECRUITINGCH de Roubaix
Roubaix, France
RECRUITINGHôpital FOCH
Suresnes, France
RECRUITING...and 1 more locations
Activation status of circulating eosinophils by flow cytometry
Time frame: Baseline
Mean fluorescence intensity of CCR3 and IL-5R markers
Time frame: Baseline
Percentage of Th2 polarized T cells
Time frame: Baseline
Percentage of ILC2
Time frame: Baseline
Serum levels (ELISA) of inflammatory markers
Time frame: Baseline
Correlation between the number of activated circulating eosinophils, area degranulation and severity of DRESS
Time frame: Baseline
Density of extracellular granules (degranulation area and number / mm2) on skin biopsies
Time frame: Baseline
NGS analysis of rearrangements of TCR (T cell receptor)
Time frame: Baseline and 3 months
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