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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Talc (inhaled, sniffed, i.v., intrapleural)

3

XV.ag Path: Foreign body embolism, microangiopathy, vasculopathy

2
Last update : 04/10/2012
 
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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)
5
Marijuana, cannabis (haschish, hash, bang, dab)
5

Publications

Diffuse talc granulomatosis in a patient with Crohn's disease.
American journal of respiratory and critical care medicine 2012 Oct 01;186;e11 2012 Oct 01
Intravascular Talcosis due to Intravenous Drug Use Is an Underrecognized Cause of Pulmonary Hypertension.
Pulmonary medicine 2012;2012;617531 2012
Talc granulomatosis and angiothrombotic pulmonary hypertension in drug addicts.
Journal of the Canadian Association of Radiologists 1974 Jun;25;87-93 1974 Jun
ANGIOTHROMBOTIC PULMONARY HYPERTENSION IN ADDICTS. "BLUE VELVET" ADDICTION.
JAMA 1964 May 25;188;755-7 1964 May 25

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