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By contrast with COPD, evidence from randomized clinical trials has shown that monotherapy with NAC may not, in general, be recommended for patients with IPF, another respiratory condition in which NAC has been extensively investigated

Please consult with our Dermatologist & Skin Specialist for diagnosis and treatment.

The most commonly associated drugs are NSAIDs, diuretics and nalidix acid Acneiform (figure 9) Clinical features - tends to cause monomorphic papules and pustules without comedones Most commonly associated drugs - hormonal treatments (eg progestagens in contraceptive pills), steroids, lithium, phenytoin and isoniazid Always ask patients with very muscular physiques if they use anabolic steroids - patients may not come forward with this information at the first time of asking Fixed drug eruption (figures 10-15) Chronology - symptoms occur within 48 hours of commencing the medication Clinical features: Distribution - lips, face, distal limbs, hands & feet, glans penis and perianal skin