Pneumotox » Drug » Iron pill (aspirated)

Iron pill (aspirated)

Ferrous sulfate (FeS04) pills may cause severe aiway changes known as the pill aspiration syndrome (PMID 23918109, 26236596)

Last update : 05/08/2015

Diagnosing DIRD

Drug and radiation history

Drug singularity - Correct identification of the drug

Consistent timing of exposure v. onset of symptoms

Clinical, imaging, BAL, pathological pattern consistent with the specific drug

Careful exlusion of another cause

Remission of symptoms with removal of drug

Recurrence with rechallenge (rarely advisable)

Causality assessment