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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
Hookah smoking
2
I.e
Acute eosinophilic pneumonia (AEP)
1
See abstract by
Ray, V. and A. Berman, Acute eosinophilic pneumonia after use of a hookah (water pipe) causing severe hypoxemia requiring ECMO. Chest, 2013. 144(Suppl): p. 916A
Last update :
21/10/2018
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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
Shisha smoking
Waterpipe (narghile, shisha) smoking
Publications
[Acute Eosinophilic Pneumonia (AEP) after Hookah Smoking].