The Drug-Induced Respiratory Disease Website

Anabolic androgenic steroids

Coronary artery disease (subacute, chronic)

Can be asymptomatic. See also under XIIg

Hernández-Guerra AI, Tapia J, Menéndez-Quintanal LM, Lucena JS

Sudden cardiac death in anabolic androgenic steroids abuse: case report and literature review.

Forensic sciences research 2019;4;267-273 — 2019 — 267-273

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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