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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Crushed tablets -pills (deliberate i.v. injection of)

5

XVI.u Imaging: A miliary pattern (diffuse random micronodules)

1
Last update : 06/10/2017
 
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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)
5

Publications

An Unusual and Fatal Cause of Miliary Nodules on Chest Radiography.
Journal of clinical medicine 2018 Jun 29;7; 2018 Jun 29
Lung complications of prescription drug abuse.
Cleveland Clinic journal of medicine 2018 Dec;85;910-911 2018 Dec
Pulmonary Foreign-Body Granulomatosis.
The New England journal of medicine 2017 Sep 28;377;1273 2017 Sep 28
Bronchiolitis: A Practical Approach for the General Radiologist.
Radiographics : a review publication of the Radiological Society of North America, Inc 2017;37;777-794 2017
A Case of Pulmonary Foreign Body Granulomatosis Secondary to Intravenous Injection of Acetaminophen/Oxycodone.
Military medicine 2016 Oct;181;e1404-e1406 2016 Oct

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