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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Methotrexate

5

II.b ARDS - Acute lung injury

2
Last update : 13/07/2012
 
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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
DMARDs (disease-modifying antirheumatic drugs)
5
Pemetrexed
3

Publications

Drug-associated acute lung injury: a population-based cohort study.
Chest 2012 Oct;142;845-850 2012 Oct
[Acute respiratory distress syndrome due to pneumonitis following intrathecal methotrexate administration].
Revue des maladies respiratoires 2003 Apr;20;273-7 2003 Apr
Acute respiratory distress syndrome following intrathecal methotrexate administration: a case report and review of literature.
Annals of hematology 2000 Dec;79;696-9 2000 Dec

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