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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Nitrofurantoin

5

XV.bi Path: Giant-cell interstitial pneumonia (GIP)-pattern

1
Last update : 26/05/2013
 
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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

Giant cell interstitial pneumonia in patients without hard metal exposure: analysis of 3 cases and review of the literature.
Human pathology 2016 Apr;50;176-82 2016 Apr
Giant cell interstitial pneumonia associated with nitrofurantoin.
Lung 2006;184;147-9 2006
Two unusual pathological reactions to nitrofurantoin: case reports.
Histopathology 1986 Jul;10;701-6 1986 Jul

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