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Diagnosing DIRD
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The Drug-Induced Respiratory Disease Website
Philippe Camus, M.D.
Dijon, France
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Drugs
Patterns
Tocilizumab
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Sarcoid-like granulomatosis (endo-/extrathoracic)
1
Last update :
10/04/2014
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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
Lung and liver sarcoidosis-like reaction induced by tocilizumab.
Autoimmune diseases induced by biological agents. A review of 12,731 cases (BIOGEAS Registry).
Sarcoidosis induced by tocilizumab: a paradoxical event?