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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
Talc (inhaled, sniffed, i.v., intrapleural)
3
XVI.ae
Imaging: A pattern similar to pneumoconiotic progressive massive fibrosis (PMF)
2
Last update :
09/01/2014
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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
Abused drugs/substances (illicit-, street drugs - IV/inhaled)
Marijuana, cannabis (haschish, hash, bang, dab)
Publications
A man in his early 70s with progressive dyspnea and abnormal fundoscopic examination.
Long-term follow-up of drug abusers with intravenous talcosis.
Pulmonary 'mainline' granulomatosis: talcosis of intravenous methadone abuse.