Pneumotox » Drug » Corticosteroids, inhaled (ICS)

Corticosteroids, inhaled (ICS)

5

Last update : 20/04/2015

VIII.f Central airway instability - Tracheomalacia

1

VIII.j Laryngeal disorder-Laryngeal nerve palsy (dysphonia, hoarseness)

5

VIII.x Opportunistic large airway infection (bacterial, fungal, viral)

2

VIII.ag Vocal cord candidasis

5

X.h Eosinophilic granulomatosis with polyangiitis (Churg-Strauss)

-

XI.y Adrenal suppression

2

XI.z Psychiatric symptoms

2

XI.ag Vertebral compression fracture

1

XI.ai Cushing syndrome

2

XVII.a Respiratory tract infection incl. pneumonia

4

XVII.b Opportunistic pulmonary/systemic infections

2

XVII.c Aspergillosis, pulmonary (invasive, allergic [ABPA], or mycetoma)

1

XVII.e Pneumocystis jiroveci pneumonia

1

XVII.g Tuberculosis (pulmonary, pulmonary, extrapulmonary or disseminated). Reactivation or de novo

2

XVII.h Nontuberculous pulmonary mycobacterial infection/superinfection

2

XVII.k Bacterial (incl. Pseudomonas) airway colonization

2

XVII.m Fungal airway infection

1

XVII.x Aspergillus airway colonization/infection

1

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