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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Propylthiouracil (PTU)

4

V.d Pleural/pericardial effusion, ANA positive (DI lupus)

1
Last update : 28/12/2012
 
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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
Propylthiouracil-induced autoimmune syndromes: two distinct clinical presentations with different course and management.
Seminars in arthritis and rheumatism 2006 Aug;36;4-9 2006 Aug

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