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Diagnosing DIRD
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The Drug-Induced Respiratory Disease Website
Philippe Camus, M.D.
Dijon, France
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Drugs
Patterns
Electroconvulsive therapy
2
Last update :
26/12/2018
II - Pulmonary edema - Acute lung injury - ARDS
II.a
Pulmonary edema, noncardiogenic (NCPE)
1
II.d
Pulmonary edema, cardiogenic
1
II.g
Negative pressure pulmonary edema (NPPE)
1
II.s
Neurogenic pulmonary edema
1
XII - Cardiovascular involvement / toxicity
XII.a
Left or biventricular dysfunction/failure
1
XII.n
Cardiovascular collapse - Cardiogenic shock - Hypotension
1
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Identify causative drugs
Diagnosing DIRD
1
Drug and radiation history
2
Drug singularity - Correct identification of the drug
3
Consistent timing of exposure v. onset of symptoms
4
Clinical, imaging, BAL, pathological pattern consistent with the specific drug
5
Careful exlusion of another cause
6
Remission of symptoms with removal of drug
7
Recurrence with rechallenge (rarely advisable)
8
Causality assessment
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