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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
Crizotinib
4
XVI.af
Imaging: Lung cysts or bullae (see also XVI ah/bf)
1
Crizotinib may aslo cause renal and pancreatic cysts (PMID 25756473 & 26351314)
Last update :
08/09/2016
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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
Alk inhibitors
Publications
[Cavitating nodules in a 40-year-old non-smoking woman: a very particular tumour].