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Med Culprits of Dermatologic Emergencies

1.

DRESS

  • Drug reaction with eosinophilla and systemic symptoms
  • Occurs about 2-8 weeks after med exposure
2.

S/s for DRESS

  • Watch for reporting fever and widespread rash
  • Facial edema, hematologic abnormalities (low platelets)
3.

Seizure meds that cause DRESS

  • Levetiracetam, clobazam
  • Carbamazepine, Lamotrigine, Phenytoin
4.

Gout drugs that cause DRESS

  • Allopurinol
5.

Antibiotics drugs that cause DRESS

  • Minocycline, Vancomycin
  • Sulfonamides: Dapsone, Bactrim
6.

What is SJS and TEN

  • Occur within 4 weeks of med exposure
  • Skin reaction but TEN is more extensive...with blistering and skin detachment
  • Listen for fever, pain, lesions