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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
Marijuana, cannabis (haschish, hash, bang, dab)
5
XI.m
Pulmonary emphysema - Lung cysts or bullae
1
Last update :
08/05/2012
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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
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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)
Cannabinoids - Cannabinoid receptor agonists (synthetic) (K2, Spice)
Cannabis oil, paste, resin-H oil-Cannabidiol (inhaled)
E-cigarette - E-vaporizers - ENDS - Vaping - Dabbing
Talc (inhaled, sniffed, i.v., intrapleural)
Tobacco smoke - Cigarette smoking
Publications
Primary bullous disease of the lung in a young male marijuana smoker.
Lung emphysema caused by marijuana smoking.
The importance of an illicit drug history in the evaluation of suspected spontaneous pneumothorax.
Bullous lung disease due to marijuana.
Large lung bullae in marijuana smokers.