The antiepileptic hypersensitivity syndrome is a severe, multiorgan reactio
n to oral antiepileptics that manifests as fever, rash, lymphadenopathy, an
d hepatitis. This same reaction pattern also has been described following a
dministration of a few unrelated medications. We report on 11 patients who
had drug-induced hypersensitivity syndrome and were admitted to our pediatr
ic service and review 94 cases of this syndrome in pediatric patients ident
ified from the literature. We undertook this study to summarize the finding
s and alert clinicians to the severe internal organ involvement that can oc
cur with this syndrome.