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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Mitomycin C

3

III.a Alveolar hemorrhage (AH), diffuse AH (DAH)

1
Last update : 30/08/2012
 
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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

Intravesical mitomycin-C-induced interstitial pneumonia.
Respiration; international review of thoracic diseases 2010;80;256-9 2010
Pulmonary hemorrhage as a clinical manifestation of hemolytic-uremic syndrome associated with mitomycin C therapy.
Chemotherapy 1993;39;453-6 1993
Cancer-associated hemolytic-uremic syndrome: analysis of 85 cases from a national registry.
Journal of clinical oncology : official journal of the American Society of Clinical Oncology 1989 Jun;7;781-9 1989 Jun

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