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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Herbals - Dietary botanical therapy - Health products/food - Plants

5

I.a Pneumonitis (ILD), acute and/or severe (may cause ARDS)

1

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)
3
Ayahuasca
1
Cyanide
5
Delphinium plant
3
Flavocoxid
2
Herbal extracts (via injection)
3
Herbals (fumigated, inhaled)
1
Kratom (Mitragynine)
1
Metals (heavy-)
4
Niacin
1
Poison hemlock
1
Sauropus androgynus
4
Scopolamine
2
Sibutramine
1
Tryptophan (l-tryptophan, synthetic)
5

Publications

Japanese herbal medicine-induced pneumonitis: A review of 73 patients.
Respiratory investigation 2017 Mar;55;138-144 2017 Mar
A case study of bofutsushosan-induced pulmonary injury in a patient: Case report.
Biomedical reports 2016 Dec;5;758-760 2016 Dec

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