| Can RADS Be Iatrogenic? | |
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MedLine Citation:
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PMID: 21457622 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Reactive airways dysfunction syndrome (RADS) is defined as an asthma-like illness which develops after a single high-level exposure to a pulmonary irritant. Two different cases are reviewed in which the exposure circumstances were clearly not sufficient to result in chronic adverse health effects yet resulted in persistent respiratory symptoms and a clinical diagnosis of RADS. Potential explanations for an erroneous diagnosis of RADS are discussed including incomplete exposure assessments, medication side-effects which may contribute to respiratory symptoms, and alternative explanations for respiratory symptoms or test findings. In particular, the empiric use of bronchodilator medications without a clear indication appeared to be a potential contributing factor to continued respiratory symptoms. Without a clear understanding of the reported exposure, the diagnosis of RADS should be carefully considered. The possibility of an iatrogenic sequence of events in which medication side-effects facilitate respiratory symptoms and a mistaken diagnosis of RADS should be considered, particularly in those cases with a poorly defined exposure history. |
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Authors:
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David J Hewitt |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-3-30 |
Journal Detail:
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Title: Respiratory care Volume: - ISSN: 0020-1324 ISO Abbreviation: - Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-4-4 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7510357 Medline TA: Respir Care Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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