Acute Eosinophilic Pneumonia Caused by CalciumStearate, an Additive Agent for an Oral Antihistaminic Medication

Autor: Jun Kurai, Haruhiko Makino, Yutaka Hitsuda, Hirokazu Touge, Masanari Watanabe, Masanori Miyata, Masahiro Kodani, Takanori Sako, Hiroki Chikumi, Eiji Shimizu
Rok vydání: 2006
Předmět:
Zdroj: Internal Medicine. 45:1011-1016
ISSN: 1349-7235
0918-2918
DOI: 10.2169/internalmedicine.45.1674
Popis: A 70-year-old man was admitted to our hospital because of dyspnea after taking an antihistaminic agent (homochlorcyclizine hydrochloride) for itching. Chest roentgenogram showed infiltration in the left lung field, and laboratory data revealed eosinophilia. Examination of the bronchoalveolar lavage fluid revealed an increased eosinophil count. A drug lymphocyte stimulation test was positive only for calcium stearate, an additive contained in the homochlorcyclizine hydrochloride tablet. The pulmonary infiltration and clinical symptoms subsided after withdrawal of all drugs and initiation of glucocorticoid therapy. Therefore, we concluded that this patient's pulmonary disease was caused by calcium stearate, an additive for an antihistaminic drug. An allergic reaction to a drug's additive material should be considered as a rare cause of drug-induced acute eosinophilic pneumonia.
Databáze: OpenAIRE