epidermal necrolysis , erythema multiforme , photosensitivity , purpura , and alopecia . Immunologic side effects associated with ezetimibe including sinusitis (3.6%), pharyngitis (2.3%), and viral infection (2.2%) have been reported. Immunologic side effects associated with simvastatin (and other HMG-CoA reductase inhibitors) have included a case of lupus-like syndrome . Positive ANA,