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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
Food - Food products - Food additives
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Anaphylaxis-Anaphylactoid reaction (can be fatal)
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Last update :
30/10/2018
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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
See also under
Antifreeze
Cyanide
Herbals - Dietary botanical therapy - Health products/food - Plants
Propolis
Publications
IgE-Mediated Food Allergy.
Rare presentation of anaphylaxis: pancake syndrome.
Food-induced fatal anaphylaxis: From epidemiological data to general prevention strategies.
First reported case in Canada of anaphylaxis to lupine in a child with peanut allergy.
Histamine poisoning from ingestion of fish or scombroid syndrome.