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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
Lisuride
2
Last update :
28/08/2012
I - Interstitial/parenchymal lung disease
I.b
Pneumonitis (ILD)
1
V - Pleural and/or pericardial involvement
V.c
Pleural thickening
1
XII - Cardiovascular involvement / toxicity
XII.b
Valvular heart disease and/or dysfunction
-
XII.af
Coronary vasospasm - Vasospastic angina
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
More detailed checklist
See also under
Ergots, ergot alkaloids, ergolines
