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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
Mercury fumes/vapor
5
XV.a
Path: NSIP-cellular pattern (see also Ia, Ib)
1
Last update :
06/03/2018
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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
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Careful exlusion of another cause
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Remission of symptoms with removal of drug
7
Recurrence with rechallenge (rarely advisable)
8
Causality assessment
More detailed checklist
See also under
Mercury (Hg) (fluid, metallic, elemental) i.v., i.m.
Mercury (fluid), p.o.
Mercury salts
Publications
Mercury inhalation poisoning and acute lung injury.
Diffuse lung disease caused by inhalation of mercury vapor.