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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Oxaliplatin-based regimens

4

XV.f Path: Diffuse alveolar damage (DAD-pattern) (see also IL)

1
Last update : 23/05/2013
 
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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
See also under
FOLFOX chemotherapy regimen
3
Fluorouracil (5-FU)
3
Oxaliplatin
3

Publications

Fatal pneumonitis induced by oxaliplatin: description of three cases.
Case reports in oncology 2012 Jan;5;104-9 2012 Jan
Fatal diffuse alveolar damage associated with oxaliplatin administration.
Clinical colorectal cancer 2011 Sep;10;198-202 2011 Sep

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