DRESS Drug Reaction with Eosinophilia and Systemic Symptoms THE SHORT VERSION: - Drug-induced hypersensitivity reaction o Antiepileptics and allopurinol- Life threatening- Look for: o Rash (morbiliform) o Diffuse lymphadenopathy o Diffuse facial edema (ask the pt as this may not be obvious on exam and something they forget to mention) o Visceral involvement - Liver (typically mild, can be severe liver failure) - Kidneys (check Cr and BUN) - Lungs (hypoxemia, pneumonitis, pleural effusion)- Typically resolves in weeks after offending agent is removed- Treat supportively (if renal/lung involvement consider corticosteroids) THE LONG VERSION THAT YOU LIKELY WONT REMEMBER AND WILL HAVE TO LOOK UP WHEN YOU SEE A PATIENT WITH DRESS: - Drug-induced hypersensitivity reaction - Life threatening o 80% drug related o Occurs 2-8 weeks after initiation of medication o Antiepileptic agents (eg, carbamazepine, lamotrigine, phenytoin, phenobarbital) and allopurinol are the most frequently reported causes o 10-20% a drug relationship cannot be established - Look for: 1

The contrast of black and white creates a bold, eye-catching look thats both fashionable and elegant
When to Wear This Combination : Casual outdoor weddings, modern and unconventional ceremonies, and receptions where you plan to dance the night away
We live in Arizona right now, where its super arid, so maxis are great, but I dont like them too long since they can be a tripping hazard
For the 60s bridesmaid, pastels and candy tones were the order of the day
Although block heels are more popular these days, platforms were a hallmark of '90s fashion and they didn't leave your feet aching