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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
Heroin (inhaled, insufflated, snorted)
4
IX.t
CNS involvement/dysfunction/damage
1
Last update :
04/08/2016
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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
See also under
Abused drugs/substances (illicit-, street drugs - IV/inhaled)
Heroin (intravenous)
Opiates - Opioids - Opium
Publications
Heroin Inhalation Leukoencephalopathy: An Overlooked Entity in the Opioid Epidemic.
Multiple cerebral infarctions in a young patient with heroin-induced hypereosinophilic syndrome.