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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

I.a

Pneumonitis (ILD), acute and/or severe (may produce the ARDS pattern)

See also reference unindex in PubMed Güzel A, et al. Leflunomide-Induced Interstitial Lung Disease: A Case Report. Eurasian J Pulmonol 2015; 17: 67-9

Publications

Raj R, Nugent K

Leflunomide-induced interstitial lung disease (a systematic review).

Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG. 2013;30(3):167-76

Inokuma S

Leflunomide-induced interstitial pneumonitis might be a representative of disease-modifying antirheumatic drug-induced lung injury.

Expert opinion on drug safety. 2011;10(4):603-11

McLaren ZL, Dawson JK

Comment on: Factors associated with fatal outcome of leflunomide-induced lung injury in Japanese patients with rheumatoid arthritis.

Rheumatology (Oxford, England). 2010;49(8):1606; author reply 1607

Chikura B, Lane S, Dawson JK

Clinical expression of leflunomide-induced pneumonitis.

Rheumatology (Oxford, England). 2009;48(9):1065-8

Sakai F, Noma S, Kurihara Y, Yamada H, Azuma A, Kudoh S, Ichikawa Y

Leflunomide-related lung injury in patients with rheumatoid arthritis: imaging features.

Modern rheumatology. 2005;15(3):173-9

Savage RL, Highton J, Boyd IW, Chapman P

Pneumonitis associated with leflunomide: a profile of New Zealand and Australian reports.

Internal medicine journal. 2006;36(3):162-9

Ito S, Sumida T

Interstitial lung disease associated with leflunomide.

Internal medicine (Tokyo, Japan). 2004;43(12):1103-4