Saisindhu Narala

Article Info Publication History Published online: July 03, 2022 Footnotes Funding sources: None. IRB approval status: Not applicable. Patient consent: The patient gave consent for her photographs and medical information to be published in print and online and with the understanding that this information may be publicly available. Classifications: Dermatopathology; adnexal diseases; breast diseases.

Key words alectinib anaplastic lymphoma kinase inhibitor DRESS drug reaction drug reaction with eosinophilia and systemic symptoms drug-induced hypersensitivity syndrome eosinophilia severe drug eruption Abbreviation used: DRESS (drug reaction with eosinophilia and systemic symptoms) Introduction Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a potentially fatal drug reaction with multiorgan system and cutaneous involvement.

Mercury poisoning affects multiple body systems, leading to variable clinical presentations. Mercury intoxication at low levels frequently presents with weakness, fatigue, weight loss, and abdominal pain. At higher levels of mercury intoxication, tremors and neurologic dysfunction are more prevalent.1 Dermatologic manifestations of mercury exposure vary and include pink disease (acrodynia), mercury exanthem, contact dermatitis, and cutaneous granulomas.