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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
Hash oil (Butane hash oil - BHO) - Dabbing
3
XVI.b
Imaging: Ground-glass opacities (GGO) / shadowing
1
Last update :
17/08/2021
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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
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Clinical, imaging, BAL, pathological pattern consistent with the specific drug
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Careful exlusion of another cause
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Remission of symptoms with removal of drug
7
Recurrence with rechallenge (rarely advisable)
8
Causality assessment
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See also under
Marijuana, cannabis (haschish, hash, bang, dab)
Publications
Dabbing-Induced Hypersensitivity Pneumonitis.
Lung injury from inhaling butane hash oil mimics pneumonia.