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The Drug-Induced Respiratory Disease Website and App

Frequency - Incidence

Incidence of respiratory adverse event(s) due to the specific drug as assessed by number of reported/published cases in the literature. Red digits in stars indicate: 0 = Very rare, questionable signal · 1 = < 10 cases · 2 = 10-50 cases · 3 = 50–100 cases · 4 = 100-200 cases · 5 = >200 cases

Evidence level/grade

Evidence level for respiratory adverse event(s) due to the specific drug as estimated using Hill’s (1965), Naranjo’s (1981), and Bégaud’s (1985) criteria applied to published cases. Blue digits in stars indicate: 0 = Questionable · 1 = Low · 2 = Moderate · 3 = Robust · 4 = Definite · 5 = Unquestionable, pathognomonic

XV.i

Path: Pneumocyte atypia (reactive epithelial cells) (a.k.a. the "Napoleon Hat" sign)

Publications

Myers JL, Limper AH, Swensen SJ

Drug-induced lung disease: a pragmatic classification incorporating HRCT appearances.

Seminars in respiratory and critical care medicine. 2003;24(4):445-54

Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 25-1997. A 60-year-old man with pulmonary infiltrates after a bone marrow transplantation.

The New England journal of medicine. 1997;337(7):480-9

Kirschner RH, Esterly JR

Pulmonary lesions associated with busulfan therapy of chronic myelogenous leukemia.

Cancer. 1971;27(5):1074-80

Heard BE, Cooke RA

Busulphan lung.

Thorax. 1968;23(2):187-93

Podoll LN, Winkler SS

Busulfan lung. Report of two cases and review of the literature.

The American journal of roentgenology, radium therapy, and nuclear medicine. 1974;120(1):151-6

Min KW, Györkey F

Interstitial pulmonary fibrosis, atypical epithelial changes and bronchiolar cell carcinoma following busulfan therapy.

Cancer. 1968;22(5):1027-32