Tasha Tolliver
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tashat.bsky.social
Tasha Tolliver
@tashat.bsky.social
74 followers 150 following 15 posts
Founder/Ex. Director of DRESS Syndrome Foundation.
Independent photographer
Interests: patient advocacy, severe adverse drug reactions, antibiotic stewardship, portrait and fashion photography, reblooming orchids.
www.DRESSsyndromefoundation.org
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tashat.bsky.social
Tasha Tolliver @tashat.bsky.social · May 25
New national guidance on #DRESSsyndrome just published by the French National Diagnosis and Care Protocol (PNDS).
You may come across a DRESS patient in your career — this is extremely valuable information!

www.sciencedirect.com/science/arti....
French national protocol for diagnosis and management of drug reaction with eosinophilia and systemic symptoms (DRESS) in adults and children
www.sciencedirect.com
tashat.bsky.social
SJS/TEN survivors in new JAMA Dermatology–published qualitative study report prolonged physical, psychological, and social impacts. Themes strongly overlap with DRESS recovery, despite the medical distinctions between the conditions.

Study: jamanetwork.com/journals/jam...

#medsky#dermsky
#SCARs
November 13, 2025 at 2:54 PM
Reposted by Tasha Tolliver
pulmcrit.bsky.social
only YOU can diagnose DRESS syndrome! (Drug Rash with Eosinophilia & Systemic Symptoms)

this is often *not* a dermatology diagnosis- rash & path can be nonspecific

diagnosis often hinges on visceral involvement (eosinophilia, atypical lymphocytosis, liver injury, drug exposure history) #EMIMCC
gastropaul.bsky.social Paul Farkas @gastropaul.bsky.social · Jul 15
Acute Liver Failure + Rash

🫢Rash, ALF, PSE, with - w/u

😄Turns out was on allopurinol

👍DRESS, responding to steroids

Unusual to have DRESS ➡️ ALF
Importance of reviewing meds

Nice review of DRESS
emcrit.org/ibcc/eosinop...

#liversky #EMIMCCSky #medsky
www.gastrojournal.org/article/S001...
July 16, 2025 at 1:11 PM
tashat.bsky.social
Do you know the symptoms of DRESS Syndrome and the medications that commonly cause it? Lamotrigine is a frequent culprit.

The Redness and Itching Wouldn’t Stop. Then Things Got Dangerous. www.nytimes.com/2025/09/05/w...
The Redness and Itching Wouldn’t Stop. Then Things Got Dangerous.
www.nytimes.com
September 6, 2025 at 5:12 AM
tashat.bsky.social
Join survivors, clinicians & researchers to talk, life-threatening drug reactions like DRESS Syndrome & SJS/TEN.

Aug 9 · 10 AM ET — Reg: ow.ly/EqXf50Wy9FC

Hosted by Vanderbilt University Medical Center.

#dermsky #medsky #immunosky #allergysky #DRESSsyndrome #drugallergy
August 8, 2025 at 7:32 PM
tashat.bsky.social
Join us for an informative DRESS Syndrome Webinar!
Leading experts, patients, and loved ones share insights & stories.

📅 National DRESS Syndrome Day — July 16, 2025 (12–2 PM ET)

🔗 Register & learn more: bit.ly/FacesOfDRESS

#DRESSsyndrome #drugallergy #dermsky #medsky #Immunosky #allergysky #IDsky
July 5, 2025 at 1:29 PM
Reposted by Tasha Tolliver
drjohnbarbieri.bsky.social
Please join us for Acne Global Education day on June 7th. We have an all-star cast lined up and it is going to be an outstanding session on everything acne. For more and to register:
www.global-dermatology.com/en/events/ac...
ACNE | Global Education Day 2025
ACNE Global Education Day 2025: join top experts online for clinical insights, treatment updates, and expert discussions at global-dermatology.com.
www.global-dermatology.com
June 5, 2025 at 5:41 PM
tashat.bsky.social
New national guidance on #DRESSsyndrome just published by the French National Diagnosis and Care Protocol (PNDS).
You may come across a DRESS patient in your career — this is extremely valuable information!

www.sciencedirect.com/science/arti....
French national protocol for diagnosis and management of drug reaction with eosinophilia and systemic symptoms (DRESS) in adults and children
www.sciencedirect.com
May 25, 2025 at 12:34 AM
tashat.bsky.social
Very appreciative of this opportunity to speak about DRESS syndrome at the SJS Canada Town Hall webinar. Alongside the company of great SCARs experts - Dr, Elizabeth Phillips and Dr. Cathryn Sibbald.

Watch here: ow.ly/F22I50VFNIO
- YouTube
Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube.
ow.ly
April 24, 2025 at 3:54 AM
tashat.bsky.social
Registration open!

SJS/TEN and DRESS Town Hall Webinar on Feb 25, 7-9 PM ET via Zoom!

Hear from medical experts & survivors, and SJS Canada and DRESS Syndrome Foundation.

🔑 FREE Admission!

🔗 Register: www.sjscanada.org/sjs-events

#SJS
#DRESS
#DrugReactions
#DermSky
#MedSky
February 5, 2025 at 7:41 PM
tashat.bsky.social
“making safe drugs more accessible and making dangerous drugs more safe.” See Dr. Elizabeth Phillips’ interview with Discoveries in Medicine!

#DRESSsyndrome
#SJS
#SCARs

#Dermsky
#Medsky

discoveries.vanderbilthealth.com/2025/01/mult...
Discoveries in Medicine - Multispecialty Center Targets Adverse Drug Reactions
Researchers believe better understanding of adverse drug reactions allows for diagnosis and the chance to provide targeted patient therapies.
discoveries.vanderbilthealth.com
January 11, 2025 at 3:22 AM
tashat.bsky.social
Great review paper on SCARs from the Philippine Dermatological Society.

“These diseases present with various vivid cutaneous manifestations associated with systemic symptoms and may cause potential mortality.”

#DRESS
#AGEP
#SJS/TEN
#SCARs

#Dermsky
#Medsky

journals.lww.com/jpds/fulltex...
Severe Cutaneous Adverse Reactions: A Narrative Literature... : Journal of the Philippine Dermatological Society
g eruption. These diseases present with various vivid cutaneous manifestations associated with systemic symptoms and may cause potential mortality. It is classified as a delayed-type hypersensitivity ...
journals.lww.com
January 3, 2025 at 3:24 AM
tashat.bsky.social
Some of the best evidenced-based info on acne treatment right here! @drjohnbarbieri.bsky.social
#DRESSsyndrome
#acnetreatment
drjohnbarbieri.bsky.social John Barbieri, MD, MBA @drjohnbarbieri.bsky.social · Dec 22
Want to learn more about which are the best oral antibiotics for the treatment of acne, including the relative role of doxycycline, minocycline, sarecycline (Seysara), trimethoprim-sulfamethoxazole (Bactrim), amoxicillin, and azithromycin, among others? Check out this video:
youtu.be/RgMXi92UjnQ
What are the best antibiotics for acne | Dermatologist and acne expert explains
YouTube video by John Barbieri, MD
youtu.be
December 23, 2024 at 5:43 AM
tashat.bsky.social
DRESS Syndrome Webinar tomorrow (12/17)!
Register via link below.

#Dermsky
#Medsky
tashat.bsky.social Tasha Tolliver @tashat.bsky.social · Dec 14
Don’t Miss free DRESS Syndrome Webinar by GLODERM! Join Drs. Roni Dodiuk-Gad & Mira Hamad for an insightful live discussion on "Drug Reaction w/Eosinophilia and Systemic Symptoms (DRESS)

🗓️ When: 17 December 2024
⏰ Time: 14:00–15:00 UTC//9:00-10:00 AM ET (New York)

REGISTER: bit.ly/gloderm-webi...
December 16, 2024 at 3:41 PM
tashat.bsky.social
Don’t Miss free DRESS Syndrome Webinar by GLODERM! Join Drs. Roni Dodiuk-Gad & Mira Hamad for an insightful live discussion on "Drug Reaction w/Eosinophilia and Systemic Symptoms (DRESS)

🗓️ When: 17 December 2024
⏰ Time: 14:00–15:00 UTC//9:00-10:00 AM ET (New York)

REGISTER: bit.ly/gloderm-webi...
December 14, 2024 at 2:02 AM
tashat.bsky.social
Do you know DRESS? Important paper by some of the top experts on this severe adverse, life-threatening drug reaction.
#DRESSsyndrome #delayedreaction
#Dermsky
#Medsky
germhuntermd.bsky.social Ilan Schwartz @germhuntermd.bsky.social · Dec 12
Drug reaction with eosinophilia and systemic symptoms (DRESS 👗)

🍞 + 🧈 topic for internists, frequently encountered in infectious diseases due to association with many antibiotics (see table) and b/c it can mimic infection

Review in @nejm.org #MedSky #DermSky #IDSky

www.nejm.org/doi/full/10....
Clinical Features of DRESS and Other Cutaneous Adverse Reactions. Panel A shows the pleomorphic cutaneous findings associated with drug reaction with eosinophilia and systemic symptoms (DRESS). Panel B shows the morphologic features of cutaneous adverse reactions, including DRESS — erosive and exfoliative changes in a patient with DRESS, a morbilliform eruption concentrated on the torso in a patient with an uncomplicated drug eruption, labial erosions with hemorrhagic crusting in a patient with the Stevens–Johnson syndrome and full-thickness epidermal necrosis with bullae formation and a positive Nikolsky’s sign in a patient with toxic epidermal necrolysis, nonfollicular pustules (1 to 2 mm in diameter) on a background of erythema in a patient with acute generalized exanthematous pustulosis (AGEP), and a patient with severe AGEP with erythroderma, numerous sterile pustules, and lakes of pus. AGEP can also be associated with facial edema and the accentuation of earlobe creases. Select Inflammatory and Immunologic Processes Relevant to DRESS. There are several proposed mechanisms by which drug molecules become antigenic or induce sensitization, leading to an expansion of drug-specific T cells. Both CD4+ and CD8+ T cells play a role in mediating inflammation in DRESS. Type 1 helper T cells (Th1) produce cytokines such as interferon-γ, tumor necrosis factor α (TNF-α), and CXCL10, and type 2 helper T cells (Th2) produce cytokines such as interleukin-5, interleukin-4, and interleukin-13. Interleukin-5 is intimately involved in the recruitment, activation, and survival of eosinophils. Thymus- and activation-regulated chemokine (TARC, or CCL17), which is produced mainly by keratinocytes, dendritic cells (DCs), and Langerhans cells, recruits Th2 cells that express CC chemokine receptor 4 (CCR4). Interleukin-13 can direct DCs toward Th2 polarization and promote TARC production. Group 2 innate lymphoid cells, which are responsive to thymic stromal lymphopoietin (TSLP) and interleukin-33, produce large amounts of interleukin-5 and interleukin-13 as well. The role of viral reactivation in DRESS is not completely understood, but proposed mechanisms include enhanced drug hapten presentation, direct tissue injury, and expansion of virus-specific T cells. Regulatory T cells, which function to hamper immune responses, may proliferate in the early phase of DRESS in response to transforming growth factor-β (TGF-β) and interleukin-10 and promote viral reactivation. In later phases of DRESS, regulatory T cells exposed to inflammatory cytokines such as interleukin-6 may develop a type 17 helper T cell (Th17) phenotype. Some authors have postulated that the proliferation of Th17 cells in the later stages of DRESS could partly explain the risk of autoimmune sequelae after resolution of DRESS. CMV denotes cytomegalovirus, EBV Epstein–Barr virus, and HHV human herpes virus. Common causes of DRESS
December 13, 2024 at 4:24 AM
Reposted by Tasha Tolliver
ncig2013.bsky.social
Polypharmacy risks adverse drug reactions, hospitalisations, and costs. Pharmacogenomics offers personalised care by tailoring meds to genetics, improving outcomes. It’s time for precision medicine to replace one-size-fits-all treatments. www.linkedin.com/posts/anu-na...
November 26, 2024 at 10:15 PM
Reposted by Tasha Tolliver
tonybreu.bsky.social
1/2
In today's Morning Report, I learned that DRESS is associated with the reactivation of herpesviruses, particularly HHV-6.

Whether this or other herpesviruses are part of the pathogenesis of DRESS or a consequence of DRESS remains unsettled.

https://buff.ly/3URyPK8
Association of human herpesvirus 6 reactivation with the flaring and severity of drug-induced hypersensitivity syndrome - PubMed
A combination of immunological reaction to a drug and HHV-6 reactivation results in the severe course of DIHS. The demonstration of HHV-6 reactivation is a useful marker of diagnosis as well as…
buff.ly
November 14, 2024 at 8:48 PM
Reposted by Tasha Tolliver
stephy.bsky.social
DRESS (drug reaction with eosinophilia and systemic symptoms) syndrome

Their acne medications set off a rare chain reaction that killed them wapo.st/3WFmEkY gift link 🎁🔗
Their acne medications set off a rare chain reaction that killed them
After losing their daughters to DRESS Syndrome, two mothers work to raise awareness of the rare but deadly drug reaction.
wapo.st
July 27, 2024 at 5:52 PM