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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Abused drugs/substances (illicit-, street drugs - IV/inhaled)

5

XV.ag Path: Foreign body embolism, microangiopathy, vasculopathy

2
Last update : 02/10/2012
 
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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
See also under
Amphetamine (and -derivatives)
3
Amyl-nitrite, butyl-nitrite, isobutyl-nitrite ('Poppers')
4
Antidotes
1
Body packing
4
Cannabinoids - Cannabinoid receptor agonists (synthetic) (K2, Spice)
5
Cathinones, synthetic ('Bath salts')
5
Cocaine
5
Crack cocaine
5
E-cigarette - E-vaporizers - ENDS - Vaping - Dabbing
5
E-cigarette's, e-vaporizer's secondhand vapor (Passive vaping)
1
Excipients-Vehicle-Preservatives (of drugs)
5
Heroin (inhaled, insufflated, snorted)
4
Heroin (intravenous)
5
Inhalants (volatile substances)
5
Marijuana, cannabis (haschish, hash, bang, dab)
5
Methadone
5
Opiates - Opioids - Opium
5
Recreational drugs
5
Sniffed drugs (opioids, acetaminophen)
5
Talc (inhaled, sniffed, i.v., intrapleural)
3
Warfarin
5

Publications

The clinical picture: an intravenous drug user with persistent dyspnea and lung infiltrates.
Cleveland Clinic journal of medicine 2014 Apr;81;223-4 2014 Apr
Transbronchial biopsy interpretation in the patient with diffuse parenchymal lung disease.
Archives of pathology & laboratory medicine 2007 Mar;131;407-23 2007 Mar
Talc: understanding its manifestations in the chest.
AJR. American journal of roentgenology 1986 Feb;146;295-301 1986 Feb
Pulmonary angiothrombotic granulomatosis in drug offenders.
JAMA 1972 Aug 21;221;909-11 1972 Aug 21
ANGIOTHROMBOTIC PULMONARY HYPERTENSION IN ADDICTS. "BLUE VELVET" ADDICTION.
JAMA 1964 May 25;188;755-7 1964 May 25

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