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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
Mercury fumes/vapor
5
I.a
Pneumonitis (ILD), acute and/or severe (may cause ARDS)
2
Last update :
16/03/2018
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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
Mercury (Hg) (fluid, metallic, elemental) i.v., i.m.
Mercury (fluid), p.o.
Mercury salts
Publications
Mercury inhalation poisoning and acute lung injury.