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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Oxaliplatin-based regimens

4

X.g Hypersensitivity reaction (may manifest with fever and/or skin, throat or airway involvement)

3
Last update : 12/04/2012
 
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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
FOLFOX chemotherapy regimen
3
Fluorouracil (5-FU)
3
Oxaliplatin
3

Publications

Hypersensitivity reaction and acute immune-mediated thrombocytopenia from oxaliplatin: two case reports and a review of the literature.
Journal of hematology & oncology 2010 Mar 26;3;12 2010 Mar 26
Severe respiratory symptoms to oxaliplatin infusion: a case report of delayed hypersensitivity reaction.
Investigational new drugs 2010 Apr;28;185-6 2010 Apr
Rechallenge with cisplatin in a patient with pancreatic cancer who developed a hypersensitivity reaction to oxaliplatin. Is skin test useful in this setting?
JOP : Journal of the pancreas 2008 Mar 08;9;197-202 2008 Mar 08
Allergic-type reactions to oxaliplatin: retrospective analysis of 42 patients.
European journal of cancer (Oxford, England : 1990) 2005 Oct;41;2262-7 2005 Oct
Hypersensitivity reactions to oxaliplatin: a case report and the success of a continuous infusional desensitization schedule.
Anti-cancer drugs 2004 Jul;15;605-7 2004 Jul
Hypersensitivity reactions related to oxaliplatin (OHP).
British journal of cancer 2003 Aug 04;89;477-81 2003 Aug 04

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