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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Propylthiouracil (PTU)

4

V.m Pleuropericarditis - Pleuropericardial effusion (ANA unknown or negative)

1
Last update : 23/09/2012
 
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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

Propylthiouracil-induced lupus-like or vasculitis syndrome.
Multidisciplinary respiratory medicine 2012 Jul 17;7;14 2012 Jul 17
Recurrent drug-induced ANCA vasculitis in a patient with Crohn's colitis treated with infliximab: a potential contraindication to immunosuppressive therapy.
The American surgeon 2012 Dec;78;1406-8 2012 Dec
Antineutrophil cytoplasmic antibody-positive vasculitis associated with propylthiouracil therapy.
Clinical drug investigation 2003;23;817-21 2003

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