The Drug-Induced Respiratory Disease Website

Hemoptysis

See also under Kelkar, A.H. et al. An Outbreak of Synthetic Cannabinoid–Associated Coagulopathy in Illinois. N Engl J Med, 2018. 379: 1216-23

Connors JM

Hemorrhagic Highs from Synthetic Cannabinoids - A New Epidemic.

The New England journal of medicine 2018 09 27;379;1275-1277 — 2018 09 27 — 1275-1277

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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