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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Radiocontrast media (RCM)

5

II.b ARDS - Acute lung injury

1
Last update : 13/09/2012
 
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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
Gadobutrol
2
Gadolinium-based MRI contrast media
2
Iodixanol
1
Iohexol
1

Publications

Respiratory distress syndrome from lymphangiography contrast medium.
The American review of respiratory disease 1980 Oct;122;543-9 1980 Oct
Shock lung with massive tracheal loss of plasma.
JAMA 1977 Jun 06;237;2511-3 1977 Jun 06

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