Pneumotox » Drug » Sulfasalazine » X.s - Vasculitis, pulmonary (w/wo AH), extrapulmonary, systemic: ANCA-positive

Sulfasalazine

Separating drug-induced from IBD-associated granulomatosis with polyangiitis can be extremely challenging (PMID 24525506)

Last update : 05/07/2014

Diagnosing DIRD

Drug and radiation history

Drug singularity - Correct identification of the drug

Consistent timing of exposure v. onset of symptoms

Clinical, imaging, BAL, pathological pattern consistent with the specific drug

Careful exlusion of another cause

Remission of symptoms with removal of drug

Recurrence with rechallenge (rarely advisable)

Causality assessment