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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
Radiocontrast media (RCM)
5
III.a
Alveolar hemorrhage (AH), diffuse AH (DAH)
1
Last update :
13/09/2012
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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
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Remission of symptoms with removal of drug
7
Recurrence with rechallenge (rarely advisable)
8
Causality assessment
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See also under
Gadobutrol
Gadolinium-based MRI contrast media
Iodixanol
Iohexol
Publications
A Case of Alveolar Haemorrhage Induced by Iodinated Contrast Medium Use.
[Cerebral and pulmonary hemorrhage after lymphography (author's transl)].
Intrapulmonary hemorrhage with anemia after lymphography.