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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
Hydrocarbons (petrochemicals: petroleum, petrolatum, paraffin, vaseline, naphta, jet fuel (kerosene), Diesel, gasoil), ointments, salad oil, variegated oils, butter). Aspirated
5
XVI.f
Imaging: Bibasilar opacities/shadowing
3
Last update :
19/03/2013
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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
Kerdane
Paraffin-Vaseline-Oil-Lipids (Mineral or other) p.o./inhaled/aspirated
Publications
Fire-eater's lung.
Fire eater's lung: retrospective analysis of 123 cases reported to a National Poison Center.
Severe pneumonitis after fire eating.
Exogenous lipoid pneumonia - a case report of a fire-eater.
[Consequences of an accidental aspiration of petroleum in a case of a fire eating man].
Fire-eater's lung: seventeen cases and a review of the literature.
Fire eater's pneumonia: radiographic and CT findings.
Punk rocker's lung: pulmonary fibrosis in a drug snorting fire-eater.