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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
Herbals - Dietary botanical therapy - Health products/food - Plants
5
I.b
Pneumonitis (ILD)
2
Causality assessment wide ranging
Last update :
17/03/2019
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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
Amphetamine (and -derivatives)
Ayahuasca
Cyanide
Delphinium plant
Flavocoxid
Herbal extracts (via injection)
Herbals (fumigated, inhaled)
Kratom (Mitragynine)
Metals (heavy-)
Niacin
Poison hemlock
Sauropus androgynus
Scopolamine
Sibutramine
Tryptophan (l-tryptophan, synthetic)
Publications
Sansoninto-induced Lung Injury.
[A Case of Drug-Induced Lung Injury Caused by Kamikihito].
Pneumonitis with Diffuse Alveolar Hemorrhage Induced by Sho-seiryu-to.
Japanese herbal medicine-induced pneumonitis: A review of 73 patients.
Ayurvedic medicine and the lung.
[A case of drug-induced pneumonitis caused by saikokeishikankyoto].
