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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Dextran

2

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

1
Last update : 19/06/2012
 
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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

Publications

Fatal dextran-induced allergic anaphylaxis.
Allergy 2002 Sep;57;862 2002 Sep
Drug-attributed anaphylaxis.
Pharmacoepidemiology and drug safety 1998 Jul;7;269-74 1998 Jul
Anaphylactic shock during hysteroscopy using Hyskon solution: case report and review of adverse reactions and their treatment.
Gynecologic and obstetric investigation 1996;41;67-9 1996
[Intraoperative anaphylactic shock--report of two cases].
Ma zui xue za zhi = Anaesthesiologica Sinica 1989 Dec;27;389-93 1989 Dec
Histopathological lung changes in immune complex mediated anaphylactic shock in humans elicited by dextran.
Forensic science international 1988 Sep;38;251-8 1988 Sep
Severe anaphylactoid reactions to dextran 70.
British medical journal 1977 Nov 05;2;1189-90 1977 Nov 05

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