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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Tocilizumab

1

I.y Progression, acceleration or exacerbation of preexisting ILD/fibrosis

1
Last update : 30/05/2013
 
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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

Publications

Exacerbation of combined pulmonary fibrosis and emphysema syndrome during tocilizumab therapy for rheumatoid arthritis.
Joint bone spine 2013 Dec;80;670-1 2013 Dec
A fatal case of acute exacerbation of interstitial lung disease in a patient with rheumatoid arthritis during treatment with tocilizumab.
Rheumatology international 2012 Dec;32;4023-6 2012 Dec

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