Pneumotox » Drug » Flecainide » XV.g - Path: Alveolar hemorrhage (see also IIIa)

Flecainide

Separation or drug-induced AH from TBLB-related bleeding problematic in the single case described with the association (PMID 3124678)

Last update : 23/11/2018

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