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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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I.x Pleuroparenchymal fibroelastosis (PPFE)

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Last update : 30/04/2015
 
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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
Atorvastatin
1
Ezetimibe
1
Fluvastatin
1
Pitavastatin
1
Pravastatin
2
Rosuvastatin
1
Simvastatin
2

Publications

Case records of the Massachusetts General Hospital. Case 14-2015. A 58-year-old woman with shortness of breath.
The New England journal of medicine 2015 Apr 30;372;1749-58 2015 Apr 30

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