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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
Salt (NaCl)
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II.a
Pulmonary edema, noncardiogenic (NCPE)
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Last update :
24/01/2019
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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
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Recurrence with rechallenge (rarely advisable)
8
Causality assessment
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See also under
Corticosteroids, systemic (oral, parenteral)
Herbals - Dietary botanical therapy - Health products/food - Plants
Hypertonic saline (NaCl)
Normal saline (9/1000 NaCl)
Publications
Fatal hypernatremia due to drinking a large quantity of shoyu (Japanese soy sauce).
The management of extreme hypernatraemia secondary to salt poisoning in an infant.