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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
Collapse therapy
2
XVIII.e
Eye-catcher: Multiple radiolucent balls
2
Last update :
24/04/2014
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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
Publications
An unusual cause of air-fluid levels in the chest.
Images in clinical medicine. Infection 57 years after plombage.
Images in clinical medicine. Plombage cavities.
Late complications of collapse therapy for pulmonary tuberculosis.
Lucite extraperiosteal plombage. Roentgenologic review of late complications.