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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Phenytoin (diphenylhydantoin)

4

VII.m Malignant lymphoma

1
Last update : 18/01/2015
 
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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
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See also under
Anticonvulsants
3

Publications

Malignant lymphoma after diphenylhydantoin (dilantin) therapy.
Cancer 1975 Oct;36;1359-62 1975 Oct
Lymphadenopathy induced by anticonvulsant drugs and mimicking clinically pathologically malignant lymphomas.
Cancer 1959;12;164-82 1959

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