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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Phosgene (carbonyl chloride)

5

II.a Pulmonary edema, noncardiogenic (NCPE)

5
Last update : 16/10/2016
 
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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

Publications

Acute lung injury after phosgene inhalation.
The Korean journal of internal medicine 1996 Jan;11;87-92 1996 Jan
Fatal pulmonary oedema with phosgene poisoning.
The Journal of the Association of Physicians of India 1985 Jun;33;430-1 1985 Jun

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