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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
Amiodarone
5
XIX.p
BAL: Lamellar bodies in AM on EM
3
Last update :
24/12/2019
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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
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
Dronedarone
Excipients-Vehicle-Preservatives (of drugs)
Thyroid hormones (exogenous)
Publications
Amiodarone-induced pulmonary toxicity with an excellent response to treatment: A case report.
Amiodarone pulmonary toxicity: cytopathology, ultrastructure, and immunocytochemistry.