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Ingredients: Water, Canola Oil, Parmesan Cheese (Pasterized Part-Skim Milk, Cheese Culture, Salt, Enzymes), Sugar, Distilled White Vinegar, Salt, Cheddar Cheese Powder (Milk, Cultures, Salt and Enzymes, Disodium Phosphate), Garlic Puree, Black Pepper, Apple Cider Vinegar, Anchovy Paste (Anchovies, Salt, Olive Oil, Acetic Acid, Monosodium Glutamate, Lemon Juice Concentrate, Xanthan Gum, Egg Yolk, Onion Powder, Mustard Flour, Malic Acid, Romano Cheese (Pasteurized Cow's Milk, Cheese Culture, Salt, Enzymes, Calcium Propionate (Preservativel), Yeast Extract, Disodium Inosinate and Guanylate, Natural Flavor. Contains: Milk, Egg, Fish (Anchovy)

This is a life-threatening clinical-dermatological emergency that presents with a variety of symptoms and signs, including skin rash (especially of the exanthema type), which may be accompanied by fever, lymphadenomegaly, hepatitis, hematological (especially atypical lymphocytes and eosinophilia), renal, cardiac, pulmonary and pancreatic changes.1 The term DRESS was initially proposed by Bocquet et al., in 1996, in a review article on the drug hypersensitivity syndrome, which had been previously described under several different terms or synonymies, such as dapsone syndrome, anticonvulsant hypersensitivity syndrome, hydantoin syndrome, and allopurinol hypersensitivity syndrome, depending on the pharmacological agent involved, throughout the 20th century.2 The first case description compatible with DRESS was reported by Myers et al., in 1937