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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Paclitaxel

5

X.g Hypersensitivity reaction (may manifest with fever and/or skin, throat or airway involvement)

4
Last update : 21/03/2016
 
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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

Hypersensitivity reactions to chemotherapeutic drugs.
Clinical reviews in allergy & immunology 2003 Jun;24;253-62 2003 Jun
Taxol reactions.
Allergy and asthma proceedings 2002;23;205-8 2002
Phase I trial of taxol in patients with advanced cancer.
Cancer treatment reports 1987 Dec;71;1171-7 1987 Dec

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