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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
Immune checkpoint inhibitors (ICI) - ICI combinatorial Rx
5
XII.ba
Sudden cardiac death
2
Last update :
28/02/2019
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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
More detailed checklist
See also under
Atezolizumab
Avelumab
CTLA4 blocking immunotherapy
Camrelizumab
Ipilimumab
Lambrolizumab
Nivolumab
PD-1/PD-L1-inhibitors or blocking agents/drugs
Pedelizumab
Pembrolizumab
Tislelizumab
Tremelimumab
Vaccination - Immunization
Vaccines
Zimberelimab
Publications
Myocarditis in Patients Treated With Immune Checkpoint Inhibitors.