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[4] Laboratory studies [4] Routine laboratory studies CBC: eosinophilia, thrombocytopenia, atypical lymphocytes often present BMP, liver chemistries, amylase, lipase Troponin T, CPK Urinalysis Exclude alternative diagnoses Screen for viral reactivation: baseline serology and PCR for HHV6, HHV7, CMV, EBV [4] Skin biopsy [4] [8] Biopsy findings in DRESS are typically nonspecific and therefore not required for diagnosis

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