The Drug-Induced Respiratory Disease Website

Acupuncture

Hemothorax - Serosanguineous pleural effusion

Ghanad E, Reissfelder C, Yang C

Acupuncture-Induced Hemothorax with Hypovolemic Shock: A Case Report.

Journal of integrative and complementary medicine 2023 Nov 15;; — 2023 Nov 15

Karavis MY, Argyra E, Segredos V, Yiallouroy A, Giokas G, Theodosopoulos T

Acupuncture-induced haemothorax: a rare iatrogenic complication of acupuncture.

Acupuncture in medicine : journal of the British Medical Acupuncture Society 2015 Jun;33;237-41 — 2015 Jun — 237-41

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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