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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Trimethoprim sulfamethoxazole (TMP-SMX)

3

X.a DRES syndrome - DRESS-like reaction

1
Last update : 15/08/2012
 
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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
Sulfadoxine
1
Sulfamethoxypyridazine
1
Sulfamides - Sulfonamides
3
Sulfasalazine
3

Publications

[Rash, fever, eosinophilia and elevated liver enzymes. DRESS syndrome (drug reaction or rash with eosinophilia and systemic symptoms)].
Praxis 2010 Jun 23;99;767-77; quiz 776 2010 Jun 23
Multiple system reaction to trimethoprim-sulfamethoxazole.
Southern medical journal 1987 Feb;80;275-6 1987 Feb
Multisystem toxicity after co-trimoxazole.
Lancet (London, England) 1978 Sep 23;2;682-3 1978 Sep 23
Fatal multisystem toxicity after co-trimoxazole.
Lancet (London, England) 1978 Apr 15;1;831 1978 Apr 15

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