A 32-year-old woman presented with a maculopapular rash that had started developing at her extremities and had spread to her thighs, chest, and face. She had a history of bipolar disorder and schizophrenia . The patient complained of itchy rashes and frequent chills. She had been advised to take clozapine 10 days ago.
Physical examination Temperature: 38.1°C Heart rate: 113 bpm BP: 96/63 mmHg No mucosal involvement was observed, but her face showed mild edema. Laboratory tests WBC: 6.9 (3.7–11.4 10 3 /µL) Platelet: 196 (140–393 K/µL) Eosinophils: 10 (0–6%) Eosinophils absolute: 0.7 (0.0–0.5 10 3 /µL) Hgb: 10.6 (10.8–15.3 g/dL) Aspartate aminotransferase: 81 (14–36 U/L) Alanine aminotransferase: 125 (9–52 U/L) Alkaline phosphatase: 155 (38–126 U/L) Hepatitis C antibody: Positive Leukocyte esterase with WBC, squamous cells, and a few bacteria were observed on urinalysis. An X-ray showed a…
