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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
Hydralazine
4
XII.c
Pericardial effusion (w/wo tamponade)
1
Last update :
21/08/2012
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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
Publications
ANA-Negative Hydralazine-Induced Pericardial Effusion.
Isoniazid-induced lupus erythematosus presenting with cardiac tamponade.
Pericardial tamponade: a major presenting manifestation of hydralazine-induced lupus syndrome.
Rheumatic and febrile syndrome during prolonged hydralazine treatment.