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

Who could forget the black embellished harness the actor wore to the 2019 ceremony
In this case, the sandals are black, but the rhinestone strap lightens up the look and adds interest and formality to the outfit
English cucumber They are longer, thinner, and less watery than regular cucumbers
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