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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Cryobiopsy (transbronchial pulmonary-; TBLB TBLCB)

4

I.y Progression, acceleration or exacerbation of preexisting ILD/fibrosis

1
Last update : 24/05/2021
 
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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
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

Publications

Integration of cryobiopsies for interstitial lung disease diagnosis is a valid and safe diagnostic strategy-experiences based on 250 biopsy procedures.
Journal of thoracic disease 2021 Mar;13;1455-1465 2021 Mar

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