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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Isocyanates

5

I.an Hypersensitivity pneumonitis pattern

1
Last update : 18/04/2018
 
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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

Hypersensitivity pneumonitis due to isocyanates: lung function, clinical and radiological characteristics.
Archivos de bronconeumologia 2013 Apr;49;169-72 2013 Apr
Occupational hypersensitivity pneumonitis due to isocyanates: mechanisms of action and case reports in Japan.
Industrial health 2001 Jul;39;269-79 2001 Jul
Hypersensitivity pneumonitis (extrinsic allergic alveolitis) induced by isocyanates.
The Journal of allergy and clinical immunology 1995 May;95;1004-10 1995 May
Hypersensitivity pneumonitis after exposure to isocyanates.
Thorax 1976 Apr;31;127-36 1976 Apr

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