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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Amyl-nitrite, butyl-nitrite, isobutyl-nitrite ('Poppers')

4

XI.a Cyanosis, a low SpO2 and normal measured PaO2

2

See under XIVa: Methemoglobinemia

Last update : 15/02/2013
 
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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
Nitrites - Nitrates (oral - inhaled ('Poppers'))
3

Publications

Blue fingers and lips on an acute medical take.
The New Zealand medical journal 2009 May 22;122;65-6 2009 May 22
Near-fatal methemoglobinemia after recreational inhalation of amyl nitrite aerosolized with a compressed gas blower.
Journal of the Formosan Medical Association = Taiwan yi zhi 2005 Nov;104;856-9 2005 Nov
[Amyl nitrite poisoning].
Ugeskrift for laeger 1998 Jun 15;160;3740-1 1998 Jun 15
A case of methaemoglobinaemia.
Archives of emergency medicine 1993 Jun;10;117-9 1993 Jun
A case of cyanosis without hypoxemia.
Journal of the Tennessee Medical Association 1990 Jan;83;22 1990 Jan

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