Article ; Online: Lenalidomide induced pneumonitis.
2022 Volume 29, Issue 4, Page(s) 971–974
Abstract: Introduction: Iatrogenic lung injury is a very rare, albeit serious complication with antineoplastic therapy, including immunomodulatory drugs. Pneumonitis typically presents clinically with symptoms such as cough, dyspnea, fever, and hypoxemia. ... ...
Abstract | Introduction: Iatrogenic lung injury is a very rare, albeit serious complication with antineoplastic therapy, including immunomodulatory drugs. Pneumonitis typically presents clinically with symptoms such as cough, dyspnea, fever, and hypoxemia. Radiographic evaluation often demonstrates diffuse, patchy infiltrates and ground-glass opacities. Case report: We present a case in which therapy from an immunomodulatory drug, lenalidomide, elicited a pneumonitis in the form of a 9 cm lung mass. An exhaustive workup was completed to rule out viral, bacterial, and fungal infections as well as malignant causes. Lenalidomide-induced lung injury was suspected. Management and outcome: Lenalidomide was discontinued and corticosteroid therapy was initiated. This resulted in a complete clinical and radiographic resolution of symptoms. Discussion: Several case reports of pneumonitis have been associated with immunomodulatory drug therapy, and while most of these exhibit diffuse ground-glass opacities radiographically, our patient presented with a 9 cm lung mass. Our findings stress the importance of a thorough medication review while ruling out other potential causes of lung injury. |
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MeSH term(s) | Humans ; Lenalidomide/adverse effects ; Lung Injury/drug therapy ; Lung Injury/pathology ; Pneumonia/chemically induced ; Pneumonia/diagnostic imaging ; Lung/pathology ; Antineoplastic Agents/adverse effects |
Chemical Substances | Lenalidomide (F0P408N6V4) ; Antineoplastic Agents |
Language | English |
Publishing date | 2022-09-07 |
Publishing country | England |
Document type | Case Reports ; Journal Article |
ZDB-ID | 1330764-2 |
ISSN | 1477-092X ; 1078-1552 |
ISSN (online) | 1477-092X |
ISSN | 1078-1552 |
DOI | 10.1177/10781552221124533 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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