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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Radiation therapy (medium term & late effects)

5

VIII.r Tracheal/large airway necrosis, chondronecrosis, perforation

2
Last update : 08/07/2013
 
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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
See also under
Radiation therapy (early effects)
5
Radiation therapy to the breast
4
Radiation therapy to the chest
5
Radiation therapy, infusional (injected 131I or 90Y radioactivity)
2
Radiation therapy, mantle-field-
5
Radiation therapy, stereotactic (SBRT)
5

Publications

Radiation-associated airway necrosis.
Ochsner journal 2013;13;273-5 2013
Nontraumatic disruption of the fibrocartilaginous trachea: causes and clinical outcomes.
Chest 2006 Oct;130;1143-9 2006 Oct
Aspiration diseases: findings, pitfalls, and differential diagnosis.
Radiographics : a review publication of the Radiological Society of North America, Inc 2000;20;673-85 2000

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