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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
E-cigarette - E-vaporizers - ENDS - Vaping - Dabbing
5
VII.h
Pneumomediastinum
1
Last update :
05/02/2018
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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)
Cannabinoids - Cannabinoid receptor agonists (synthetic) (K2, Spice)
Diacetyl (2,3-butanedione) flavoring agent
E-cigarette's, e-vaporizer's secondhand vapor (Passive vaping)
Flavoring agents
Glue sniffing
Inhalants (volatile substances)
Marijuana, cannabis (haschish, hash, bang, dab)
Nicotine
Nitrous oxide (N2O)
Sildenafil
Tadalafil
Tetrahydrocannabinol (THC)
Tobacco smoke - Cigarette smoking
Vitamin E acetate (vaped, inhaled)
Publications
Pulmonary Illness Related to E-Cigarette Use in Illinois and Wisconsin - Final Report.
Vaping associated lung injury: A potentially life-threatening epidemic in US youth.
Spontaneous Pneumomediastinum After Electronic Cigarette Use.