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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
Corticosteroids, inhaled (ICS)
5
XI.ai
Cushing syndrome
2
Last update :
15/02/2015
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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
Beclomethasone
Budesonide (inhaled)
Corticosteroids, systemic (oral, parenteral)
Fluticasone (inhaled - ICS)
Publications
[Cushing's syndrome with inhaled corticosteroid: Drug interactions to avoid].
Inhalational Steroids and Iatrogenic Cushing's Syndrome.
