Pneumotox » Drug » Radiation therapy to the chest » I.a - Pneumonitis (ILD), acute and/or severe (may cause ARDS)

Radiation therapy to the chest

May progress to full-blown ARDS

Last update : 04/05/2014

Diagnosing DIRD

Drug and radiation history

Drug singularity - Correct identification of the drug

Consistent timing of exposure v. onset of symptoms

Clinical, imaging, BAL, pathological pattern consistent with the specific drug

Careful exlusion of another cause

Remission of symptoms with removal of drug

Recurrence with rechallenge (rarely advisable)

Causality assessment