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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Ovarian stimulation

3

V.a Pleural effusion (uni- or bilateral) (can accompany DI-LDs)

1
Last update : 06/10/2012
 
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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
Clomifen
2
GnRH
2

Publications

Continuous vaginal and bilateral thoracic fluid drainage for management of severe ovarian hyperstimulation syndrome.
Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology 2008 Sep;24;505-7 2008 Sep
Bilateral pleural effusion and ascites in the ovarian hyperstimulation syndrome.
European journal of emergency medicine : official journal of the European Society for Emergency Medicine 2004 Dec;11;348-50 2004 Dec
Massive unilateral hydrothorax as the only clinical manifestation of ovarian hyperstimulation syndrome.
Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace 2002;57;314-7 2002

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