The drug reaction with eosinophilia and systemic symptoms (DRESS) rash includes ill-defined macules and/or papules coalescing into patches and/or plaques. Depending on the patient’s skin tone, the poorly defined exanthem can range from pink to violaceous or hyperpigmented in nature, as seen here, all of which are inflammatory even if the expected “red” is not appreciated. Increased skin warmth and pruritus can help highlight activity.

Log into your JDD account to access high resolution images and request permissions.