Drug Allergies Flashcards
Serum sickness:
Syndrome resulting from soluble circulating immune complexes that form under conditions of antigen excess.
Serum sickness presentation:
Fever, malaise, lymphadenopathy
Jarisch-Herxheimer Reaction is caused by:
Sudden release of bacterial components from injured and/or killed bacteria.
Jarisch-Herxheimer reaction symptoms:
RIgors, fever and hypotension
Most common manifestations of SLE (5):
- Fever
- Malaise
- Rash
- Arthralgias
- Myalgias
Interstitial nephritis manifestations (6):
- Fever
- Rash
- Eosinophilia
- Proteinuria
- Hematuria
- Eosinophiluria
Interstitial nephritis; Humoral mechanism:
Antibody mediated mechanism - antibodies to a drug-basement membrane complex
Toxic hepatitis manifestation (4):
- Eosinophilia
- Fever
- Rash
- Granulomas on biopsy
Vasculitis:
Inflammation and necrosis of blood vessels.
Vasculitis manifestations:
- Palpable purpuric lesions
- Papules, nodules, ulcerations or vsiculobullous lesions
- Usually lower extremities
Maculopapular rash (3):
- Symmetrical, flat red rash
- Begins on the extremities in ambulatory; the back of bedridden pts
- Palms and soles spared
Fixed drug eruptions (3):
- Single or multiple edematous, pigmented lesion
- Frequently dark red, violet or brownish-pink
- Reappear in the same location when drug reinitiated
Phototoxicity (2):
- Immediately after drug treatment after a short exposure to sunlight
- UV light results in drug emitting energy that can damage tissue