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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Asparaginase

2

X.f Anaphylaxis-Anaphylactoid reaction (can be fatal)

2
Last update : 24/08/2012
 
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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

Anaphylaxis to L-asparaginase during treatment for acute lymphoblastic leukemia in children--evidence of a complement-mediated mechanism.
Pediatric research 1985 Apr;19;400-8 1985 Apr
Delayed allergic reactions following intramuscular L-asparaginase.
Medical and pediatric oncology 1980;8;123-5 1980
Fatal drug reactions among medical inpatients.
JAMA 1971 Apr 19;216;467-72 1971 Apr 19
L-asparaginase: therapeutic and toxic effects in patients with neoplastic disease.
The New England journal of medicine 1969 Nov 06;281;1028-34 1969 Nov 06

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