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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
Hand sanitizer (fluid)
2
XI.d
Metabolic acidosis (incl. lactic acidosis/-gap). May cause hyperpnea/dyspnea
1
Last update :
19/02/2015
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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
Ethanol (ethyl alcohol, 'alcohol')
Isopropanol (isopropyl alcohol - IPA)
Methanol (oral, topical/dermal, systemic)
Propanol
Publications
Case 13-2019: A 54-Year-Old Man with Alcohol Withdrawal and Altered Mental Status.
Recurrent lactic acidosis secondary to hand sanitizer ingestion.