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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Psyllium

2

X.f Anaphylaxis-Anaphylactoid reaction (can be fatal)

1
Last update : 21/06/2013
 
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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)
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Causality assessment
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Publications

Psyllium-associated anaphylaxis and death: a case report and review of the literature.
Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology 2003 Dec;91;579-84 2003 Dec
Psyllium laxative-induced anaphylaxis, asthma, and rhinitis.
Allergy 1996 Apr;51;266-8 1996 Apr
Adverse effects of psyllium.
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne 1992 Jan 01;146;16-7 1992 Jan 01
Anaphylaxis following ingestion of a psyllium-containing cereal.
JAMA 1990 Nov 21;264;2534-6 1990 Nov 21
Psyllium anaphylaxis.
Allergy proceedings : the official journal of regional and state allergy societies 1990;11;241-2 1990
IgE mediated anaphylaxis due to a psyllium-containing drug.
Annals of allergy 1984 Oct;53;325-6 1984 Oct
Anaphylaxis following psyllium ingestion.
The Journal of allergy and clinical immunology 1984 Jul;74;79-80 1984 Jul

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