The Drug-Induced Respiratory Disease Website

Anabolic androgenic steroids

Exogenous lipoid pneumonia (subacute, acute)

One case was reported in an abstract form (ERS conference 2009; Quadri et al. abstract #745)

Laurenzo S, St Peter T, Aesif S, Kanne J, Runo J

A 48-Year-Old Amateur Bodybuilder With History of Provoked DVT With Subacute Progressive Shortness of Breath.

Chest 2021 08;160;e205-e208 — 2021 08 — e205-e208

Diagnosing DIRD

Drug and radiation history

Drug singularity - Correct identification of the drug

Consistent timing of exposure v. onset of symptoms

Clinical, imaging, BAL, pathological pattern consistent with the specific drug

Careful exlusion of another cause

Remission of symptoms with removal of drug

Recurrence with rechallenge (rarely advisable)

Causality assessment

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