On broncho-alveolar lavage: Drug-specific T-lymphocytes and eosinophils may be found - Clinical course: o Rash and visceral involvement resolve in 6-9 weeks after withdrawal of offending agent o 20% of cases symptoms persist for months with remission and relapse - Diagnosis: o Pt who received new medication in the last 2-6 weeks with the following: - Morbilliform rash - Fever - Lymphadenopathy - Facial edema - Eosinophilia o Labs: CBC (eosinophilia), BMP (creatinine/BUN), viral hepatitis panel, dermatology referral for skin biopsy o CT chest if pulmonary symptoms - Management: o Drug withdrawal and supportive measures o If suspected medication is antiepileptic, substitute with valproate o For pts with hepatic involvement refer to hepatologist o For pts with severe interstitial nephritis or interstitial pneumonia, consider corticosteroids
The best dress supports you, moves with you, and feels joyful
Family history - his mother suffered from psoriasis, and his daughter from atopic dermatitis
Large, bold, widely spaced floral prints can sometimes land awkwardly directly on the stomach, unintentionally acting like a bullseye and drawing intense attention to the area you wish to hide
Do not let the official words scare you
