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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
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Methamphetamine
5
VI.b
Pulmonary arterial hypertension
2
Last update :
14/04/2012
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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)
Body packing
Ephedrine
Gases
Paramethoxymethamphetamine
Phosphine (H3P)
Pseudoephedrine
Recreational drugs
Stimulants, psychostimulants, psychoactive substances
Publications
Methamphetamine-associated pulmonary arterial hypertension.
Methamphetamine and the risk of pulmonary arterial hypertension.
Drugs and toxins-associated pulmonary arterial hypertension: lessons learned and challenges ahead.
Pulmonary arterial hypertension seen in methamphetamine abusers.
Is methamphetamine use associated with idiopathic pulmonary arterial hypertension?
Methamphetamine and the expanding complications of amphetamines.
Pulmonary hypertension associated with long-term inhalation of "crank" methamphetamine.
