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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
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XVI.t
Imaging: Diffuse pulmonary calcification
Last update :
01/01/1970
Causative drugs
1
Status post-liver transplantation
VI.e
VI - Pulmonary vasculopathies
VI.e - Fat/oil embolism - The FES embolism syndrome
XVI.t
XVI - Imaging
XVI.t - Imaging: Diffuse pulmonary calcification
1
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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
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Clinical, imaging, BAL, pathological pattern consistent with the specific drug
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Careful exlusion of another cause
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Remission of symptoms with removal of drug
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Recurrence with rechallenge (rarely advisable)
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Causality assessment
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