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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Pemetrexed

3

II.b ARDS - Acute lung injury

1
Last update : 23/08/2012
 
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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

Fatal pemetrexed-induced lung injury in patients with advanced mesothelioma: a report of two cases.
Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer 2010 Oct;5;1714-5 2010 Oct
Fatal pneumonitis associated with intensity-modulated radiation therapy for mesothelioma.
International journal of radiation oncology, biology, physics 2006 Jul 01;65;640-5 2006 Jul 01

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