By Disease Name > Drug Eruption > Morbilliform drug eruption

Morbilliform drug eruption

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AKA exanthematous drug eruption
most consistent with a type IV delayed hypersensitivity reaction (?)
usually 1-2 days after starting drug (almost always within 1-2 weeks)
blood eosinophilia = a non-specific finding that is often absent
ddx: viral exanthem, scarlet fever, staph scarlatiniform eruption, toxic shock syndrome, acute GVHD, eruption of lymphocyte recovery, juvenile RA
pearl - always elicit contrast dye or blood product/transfusion history as well

 

drug vs. infectious:

drug suddenly without prodrome (“drug red”)
infectious often with prodrome