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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
Colchicine
1
Last update :
09/08/2012
II - Pulmonary edema - Acute lung injury - ARDS
II.b
ARDS - Acute lung injury
1
VII - Mediastinal involvement
VII.h
Pneumomediastinum
1
X - Systemic/Distant conditions, syndromes and reactions
X.u
Multiple organ dysfunction/failure (MODS/MOF)
1
XI - Miscellaneous
XI.r
Death following exposure or poisoning
2
XII - Cardiovascular involvement / toxicity
XII.m
Cardiac- cardiorespiratory/pulmonary arrest
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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