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
Bridesmaid dress trends right now are all about personality, polish, and just the right amount of drama
Mini dress with fixed straps & a sleeveless design
A sweeping silhouette and painterly print bring ethereal elegance to this floor length gown
But now were back to meeting people in real life, now is the time to ditch the loungewear and master the tricky smart-casual dress codes that'll be stamped above most events in the calendar
For our guide to mens work pants for the office, I considered roughly 50 pairs of chinos and dress pants and tested 21 pairs
