Pneumotox » Drug » Immune checkpoint inhibitors (ICI) - ICI combinatorial Rx » XV.e - Path: ILD with a granulomatous component (see also Im)

Immune checkpoint inhibitors (ICI) - ICI combinatorial Rx

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XV.e Path: ILD with a granulomatous component (see also Im)

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Last update : 25/04/2018

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

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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

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