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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Leflunomide

3

XVII.g Tuberculosis (pulmonary, pulmonary, extrapulmonary or disseminated). Reactivation or de novo

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Last update : 04/05/2014
 
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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

Leflunomide-associated tuberculosis?
Rheumatology (Oxford, England) 2006 Feb;45;228-9 2006 Feb

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