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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Tissue plasminogen activator (r-)

1

VIII.a Angioedema (may cause UAO, asphyxia and death)

1
Last update : 01/06/2018
 
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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
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Remission of symptoms with removal of drug
7
Recurrence with rechallenge (rarely advisable)
8
Causality assessment
More detailed checklist
See also under
Alteplase (rTPA)
2

Publications

Angioedema after thrombolysis with tissue plasminogen activator: an airway emergency.
Oxford medical case reports 2019 Jan;2019;omy112 2019 Jan
Orolingual Angioedema After Tissue Plasminogen Activator Administration in Patients Taking Angiotensin-Converting Enzyme Inhibitors.
Advanced emergency nursing journal 2019;41;204-214 2019
Angioedema: A Life-threatening Complication of Tissue Plasminogen Activator.
Cureus 2018 Mar 29;10;e2392 2018 Mar 29

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