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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
Thrombolytic (fibrinolytic) agents
3
III.a
Alveolar hemorrhage (AH), diffuse AH (DAH)
2
Last update :
20/01/2012
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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
Alteplase (rTPA)
Fibrinolytic agents (intrapleural)
Streptokinase
Tenecteplase
Urokinase
Publications
[Alveolar hemorrhage as a complication of thrombolytic therapy].
Predictors of major hemorrhage following fibrinolysis for acute pulmonary embolism.
[A diffuse pulmonary hemorrhage following thrombolytic therapy in an acute myocardial infarct].