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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Radiocontrast media (RCM)

5

II.i Flash (fulminate) pulmonary edema

1
Last update : 29/09/2012
 
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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
Gadobutrol
2
Gadolinium-based MRI contrast media
2
Iodixanol
1
Iohexol
1

Publications

Pulmonary edema following intravenous injection of nonionic low-osmolar contrast medium--appearance on HRCT. A case report.
Acta radiologica (Stockholm, Sweden : 1987) 1998 Jan;39;81-3 1998 Jan
Noncardiogenic pulmonary edema associated with intravenous radiocontrast administration.
Chest 1992 Aug;102;620-1 1992 Aug
Fulminant pulmonary edema following intravenous administration of radiocontrast media.
Acta clinica Belgica 1990;45;334-9 1990

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