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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
Cromoglycate
1
Last update :
20/01/2012
I - Interstitial/parenchymal lung disease
I.b
Pneumonitis (ILD)
-
I.c
Eosinophilic pneumonia (pulmonary infiltrates and eosinophilia)
1
IV - Airway involvement
IV.f
Severe or catastrophic bronchospasm or asthma attack (can be fatal)
1
VI - Pulmonary vasculopathies
VI.k
Eosinophilic pulmonary vasculitis
-
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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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