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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Nivolumab

5

XVI.af Imaging: Lung cysts or bullae (see also XVI ah/bf)

1
Last update : 29/09/2017
 
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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
Avelumab
1
Durvalumab
3
Immune checkpoint inhibitors (ICI) - ICI combinatorial Rx
5
Lambrolizumab
4
PD-1/PD-L1-inhibitors or blocking agents/drugs
5
Pembrolizumab
5

Publications

Nivolumab-induced pneumonitis complicated by cyst formation.
Lung cancer (Amsterdam, Netherlands) 2018 Aug;122;258-259 2018 Aug
Lung Tissue Injury as an Atypical Response to Nivolumab in Non-Small Cell Lung Cancer.
American journal of respiratory and critical care medicine 2017 Nov 15;196;1349-1350 2017 Nov 15

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