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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
Leflunomide
3
I.b
Pneumonitis (ILD)
1
Recent data (PMID 26980577) cast some doubt about the existence of leflunomide-induced pneumonitis
Last update :
27/04/2016
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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
Leflunomide-induced interstitial lung disease (a systematic review).
Clinical expression of leflunomide-induced pneumonitis.
Leflunomide use and the risk of interstitial lung disease in rheumatoid arthritis.
Pneumonitis associated with leflunomide: a profile of New Zealand and Australian reports.
Interstitial lung disease associated with leflunomide.