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Umang Shah companion for GPAT (1).pdf32.89 MB
🧠 Drug-Induced Syndromes ➡️
🩺💊 1. Amiodarone → Blue Man Syndrome
👉Mechanism: Skin discoloration due to dermal lipofuscin deposits after long-term use.
👉Clue: “Amiodablue” = Amiodarone turns you blue (phototoxicity-related).
🩺💊2. Aspirin → Reye's Syndrome
👉 Mechanism: Aspirin use in children with viral illness → mitochondrial dysfunction → acute encephalopathy + hepatic failure.
👉Mnemonic: “Aspirin in kids? Think ‘Reye-sy’ reaction!”
🩺💊3. Chloramphenicol → Gray Baby Syndrome
👉Mechanism: Immature UDP-glucuronyl transferase in neonates → drug accumulation → hypotension, cyanosis, gray skin.
👉Clue: Chlor-amphanicol? More like Chloro-GRAY-nicol.
🩺💊4. Clindamycin → Stevens-Johnson Syndrome (SJS)
👉Mechanism: Severe immune-mediated hypersensitivity (Type IV).
👉Mnemonic: Clinda can "clean da" skin off — literally.
🩺💊5. Corticosteroids → Cushing’s Syndrome
👉Mechanism: Excess exogenous corticosteroids → HPA axis suppression → iatrogenic Cushingoid features (moon face, central obesity).
👉Mnemonic: Too many "cortico-snacks" = Cushing’s pack.
🩺💊 6. Phenytoin → Purple Glove Syndrome
👉Mechanism: IV phenytoin extravasation → soft tissue necrosis and purple discoloration of limbs.
👉Clue: Purple gloves? Handle phenytoin with care.
🩺💊7. Vancomycin → Red Man Syndrome
👉 Mechanism: Non-IgE-mediated histamine release due to rapid infusion → flushing, rash, hypotension.
👉Mnemonic: “Van-go too fast? Red flow’s the blast.”
🩺💊8. Warfarin → Purple Toe Syndrome
👉Mechanism: Cholesterol microembolization → painful purple discoloration of toes.
👉Clue: Warfarin wars → tiny clots, purple spots.
🧪 Exam Tip:
Associate the drug + color to remember:
🔵 Amiodarone – Blue
🔴 Vancomycin – Red
🟣 Phenytoin & Warfarin – Purple
⚫ Chloramphenicol – Gray
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