Pneumotox » Drug » Antithyroid drugs » X.s - Vasculitis, pulmonary (w/wo AH), extrapulmonary, systemic: ANCA-positive

Antithyroid drugs

There is a possible asscoation of thyroid disease and ANCA-related vasculitis, irrespective of exposure to antithyroid drugs (PMID 17686815)

Last update : 03/08/2023

Diagnosing DIRD

Drug and radiation history

Drug singularity - Correct identification of the drug

Consistent timing of exposure v. onset of symptoms

Clinical, imaging, BAL, pathological pattern consistent with the specific drug

Careful exlusion of another cause

Remission of symptoms with removal of drug

Recurrence with rechallenge (rarely advisable)

Causality assessment