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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
Etoricoxib
1
Last update :
13/07/2012
IV - Airway involvement
IV.a
Bronchospasm - Wheezing - Asthma
1
V - Pleural and/or pericardial involvement
V.a
Pleural effusion (uni- or bilateral) (can accompany DI-LDs)
1
VIII - Central-large-upper airway (incl. pharyngeal-nasal) involvement
VIII.a
Angioedema (may cause UAO, asphyxia and death)
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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See also under
COX2 inhibitors
