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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Drugs purchased on e-shops or on the Internet

3
Last update : 04/05/2019
I - Interstitial/parenchymal lung disease

I.a Pneumonitis (ILD), acute and/or severe (may cause ARDS)

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I.e Acute eosinophilic pneumonia (AEP)

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II - Pulmonary edema - Acute lung injury - ARDS

II.b ARDS - Acute lung injury

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XI - Miscellaneous

XI.r Death following exposure or poisoning

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XI.s Sniffing death - Death from inhalation of compound

2
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Identify causative drugs
Diagnosing DIRD
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Drug and radiation history
2
Drug singularity - Correct identification of the drug
3
Consistent timing of exposure v. onset of symptoms
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Clinical, imaging, BAL, pathological pattern consistent with the specific drug
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Careful exlusion of another cause
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Remission of symptoms with removal of drug
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Recurrence with rechallenge (rarely advisable)
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Causality assessment
More detailed checklist
See also under
Cathinones, synthetic ('Bath salts')
5
Clove cigarettes
2
Designer drugs
3
Dinitrophenol (2, 4-dinitrophenol or DNP)
3
Ecstasy (MDMA)
4
Marijuana (haschish), synthetic
1
Marijuana, cannabis (haschish, hash, bang, dab)
5

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