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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Isoniazid - INH

2

V.d Pleural/pericardial effusion, ANA positive (DI lupus)

2
Last update : 24/08/2012
 
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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

Publications

A patient on RIPE therapy presenting with recurrent isoniazid-associated pleural effusions: a case report.
Journal of medical case reports 2011 Nov 30;5;558 2011 Nov 30
Isoniazid (INH)-induced eosinophilic exudative pleural effusion and lupus erythematosus. A clinical reminder of drug side effects.
Bulletin of the NYU hospital for joint diseases 2011;69;181-4 2011
Paradoxical pleural response to antituberculous chemotherapy and isoniazid-induced lupus. Review and report of two cases.
Respiration; international review of thoracic diseases 1998;65;152-5 1998

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