drug eruptions Flashcards

1
Q

what is the most commonly reported drug side effecr

A

skin eruptions

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2
Q

what does exanthematous mean

A

causes a rash

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3
Q

type IV hyper sensitivity

A

cell mediated delayed response reaction

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4
Q

type 1 hypersensitivity mechanism

A

antibody mediated

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5
Q

type 2 hypersensitivity mechanism

A

cytotoxic reaction

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6
Q

type 3 hyper sensitivity

A

immine complex mediated reactions

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7
Q

anaphylaxis and/or urticaria is what type of hypersensitivity

A

type 1

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8
Q

blistering reactions is whqat type of hypersensitivity

A

type 2

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9
Q

purpuria/vasculitis/rash is what type of hypersensitivity

A

type 3

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10
Q

erythema/rash is what type of hypersensitivity

A

type 4

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11
Q

what hypersensitivity is T cell mediated

A

type 4

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12
Q

eczema is what type of reaction

A

non immunological

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13
Q

drug indiced alopecia is what type of reaction

A

non immunological

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14
Q

phototoxicity is what type of reaction

A

non immunological

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15
Q

skin erosion due to topical 5-fluorouracil is what type of reaction

A

non immunological

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16
Q

atrophy due to topical corticosteroids is what type of reaction

A

non immunological

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17
Q

psoriasis is what type of reaction

A

non immunological

18
Q

pigmentation is what type of reaction

A

non immunological

19
Q

cheilitis, xerosis is what type of reaction

A

non immunological

20
Q

what can cause cheilitis

21
Q

what can cause asteatotic eczema

A

statins and retinoids

22
Q

what does xerosis mean

23
Q

what are risk factors for drugs responsuvke for cutaneous reactions

A

B lactam, NSAIDs, high molecular weight / hapten - forming drugs, rough dose and half life

24
Q

what kind of reaction is not dose dependent

A

immunological

25
what is the most common type of drug eruption
exanthematous
26
what type of reaction is exanthematous
type IV
27
appearnace of exanthematous
wide spread symmetrically distributed rash with mucous membranes usually spared
28
presentantion of exanthematous
itch, mild fever, and rash
29
onset of exanthematous (time)
4-21 days after first taking the drug
30
drugs associated with exantheatous reactions
penicillins, sulphonamides, erythromycin, streptomycin, allopurinol, anti epileptics, NSAIs and chloramphenicol
31
urticarial is also known as
hives
32
what is the mechanism of urticarial
IgE type 1 hypersensitibity or diret release of inflammatory mediators
33
what may drug induced urticarial reactions be associated with
angioedema / anaphylaxis
34
what drugs cause drug induced bullous pemphigoid
ACEi, penicillin, furosemide
35
what is stevens-johnson syndrome presentation
flu like symptoms then rash then blisters aand sores
36
what can cause immediate prickling with delayed erythema and pigmentation
chlorpromazide, amiodarone
37
what causes exaggerated easy sunburining
quinine, thiazides, demeclocycline
38
what causes telangiectasia on sun exposed sites
CCBs
39
what causes delayed 3 - 5 days erythema and pigmentation
psoralens
40
what causes increased skin fragility
nalidixic acid, tetracycline naproxen, amiodarone