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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Gadolinium-based MRI contrast media

2

II.a Pulmonary edema, noncardiogenic (NCPE)

1
Last update : 29/06/2025
 
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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
Gadobutrol
2
Radiocontrast media (RCM)
5

Publications

Non-cardiogenic pulmonary oedema as a rare complication of gadolinium-based contrast agents.
European heart journal. Case reports 2025 Jun;9;ytaf199 2025 Jun

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