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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
Marijuana, cannabis (haschish, hash, bang, dab)
5
I.e
Acute eosinophilic pneumonia (AEP)
1
Last update :
06/10/2012
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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
Abused drugs/substances (illicit-, street drugs - IV/inhaled)
Cannabinoids - Cannabinoid receptor agonists (synthetic) (K2, Spice)
Cannabis oil, paste, resin-H oil-Cannabidiol (inhaled)
E-cigarette - E-vaporizers - ENDS - Vaping - Dabbing
Talc (inhaled, sniffed, i.v., intrapleural)
Tobacco smoke - Cigarette smoking
Publications
Rare finding of acute eosinophilic pneumonia associated with heavy cannabis use: A case-report.
Eosinophilic pneumonia associated with concomitant cigarette and marijuana smoking.
Idiopathic acute eosinophilic pneumonia requiring ECMO in a teenager smoking tobacco and cannabis.
