The Drug-Induced Respiratory Disease Website

Household/cleansing/cleaning agents

Respiratory distress or failure, not otherwise specified

Das S, Rahman NA, Hanuman SB, Nandagopal S

The Diagnosis of a Case of Household Cleaner Fatality.

The American journal of forensic medicine and pathology 2020 Jun 03;; — 2020 Jun 03

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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