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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Tocilizumab

1

XVII.b Opportunistic pulmonary/systemic infections

1
Last update : 31/12/2013
 
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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

Pulmonary Pasteurellosis in a Patient Treated With Tocilizumab for Rheumatoid Arthritis.
Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases 2017 Dec;23;451-452 2017 Dec
Incidence of serious respiratory infections in patients with rheumatoid arthritis treated with tocilizumab.
Modern rheumatology 2012 Feb;22;122-7 2012 Feb
Choice of Biologic Therapy for Patients with Rheumatoid Arthritis: The Infection Perspective.
Current rheumatology reviews 2011 Feb;7;77-87 2011 Feb

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