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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Levamisole-adulterated/tainted cocaine

5

VIII.ai Nasal, palatal and/or pharyngeal pathology

3
Last update : 29/08/2020
 
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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
Abused drugs/substances (illicit-, street drugs - IV/inhaled)
5
Aminorex
5
Cocaine
5
Crack cocaine
5
Levamisole
4

Publications

[Cocaine-induced vasculitis and mimics of vasculitis].
Zeitschrift fur Rheumatologie 2023 Sep;82;606-614 2023 Sep
Extensive Sinonasal and Oropharyngeal Necrosis as a Consequence of Adulterated Cocaine with Mimicry of ANCA-Positive Vasculitis.
OTO open 2019;3;2473974X19894239 2019

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