Failure of Corticosteroids to Prevent Carmustine-Induced Pulmonary Fibrosis in a Woman With Astrocytoma

Autor: Klein, Russell C., Paddison, Richard M.
Zdroj: Archives of Neurology; June 1981, Vol. 38 Issue: 6 p392-393, 2p
Abstrakt: Carmustine (bis-chloronitrosourea; BCNU), an important agent in the management of astrocytomas and other selected tumors, occasionally causes pulmonary fibrosis.1 Although steroids have been used to treat carmustine-induced fibrosis, generally without much success, little attention has been paid to the phenomenon of fibrosis developing during concomitant administration of carmustine and corticosteroids. We report such a case and review the available literature on this phenomenon and on the related problem of treating carmustine-induced fibrosis with corticosteroids. REPORT OF A CASE A 31-year-old woman was first seen in August 1978 because of a transient bout of incoherent speech. A computed tomography (CT) scan was interpreted as showing an intracerebral hemorrhage, and it was elected only to observe her because she was asymptomatic. In January 1979 the finding on CT scan was still abnormal, and an angiogram suggested a tumor in the left frontal region. Therapy with dexamethasone (8 mg/day) was begun
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