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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Alglucerase

1

VI.b Pulmonary arterial hypertension

1
Last update : 14/09/2012
 
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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
Enzyme replacement therapy
1

Publications

Pulmonary hypertension in two patients with type I Gaucher disease while on alglucerase therapy.
Acta haematologica 1997;98;47-50 1997
Pulmonary hypertension developing after alglucerase therapy in two patients with type 1 Gaucher disease complicated by the hepatopulmonary syndrome.
Annals of internal medicine 1996 Dec 01;125;901-4 1996 Dec 01

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