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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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5

I.j Exogenous lipoid pneumonia (subacute, acute)

2
Last update : 14/05/2012
 
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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
Aniline - Aminophenols
1
Caustic chemicals
3
Diacetyl (2,3-butanedione) flavoring agent
3
Gases
5
Hydrocarbons (petrochemicals: petroleum, petrolatum, paraffin, vaseline, naphta, jet fuel (kerosene), Diesel, gasoil), ointments, salad oil, variegated oils, butter). Aspirated
5
Laundry detergent pods
3
Nail polish remover
1
Nitric acid fumes
1
Nitrites - Nitrates (oral - inhaled ('Poppers'))
3
Nitrobenzene
3
Potassium permanganate
1
Trichloroethylene
1

Publications

Exogenous lipoid pneumonia due to inhalation of spray lubricant (WD-40 lung).
Chest 1990 May;97;1265-6 1990 May

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