Clarithromycin Stops Lung Function Decline in Airway-Centered Interstitial Fibrosis

Autor: S Caulet-Maugendre, B Desrues, Mallorie Kerjouan, S Guillot, Stéphane Jouneau, C Meunier, P Delaval
Přispěvatelé: Le Corre, Morgane, Service de pneumologie [Rennes] = Pneumology [Rennes], CHU Pontchaillou [Rennes], Service d'anatomie et cytologie pathologiques [Rennes] = Anatomy and Cytopathology [Rennes], Service des explorations fonctionnelles [CHU Rennes], Service de radiologie et imagerie médicale [Rennes] = Radiology [Rennes], Service des explorations fonctionnelles respiratoires, Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-CHU Pontchaillou [Rennes]
Rok vydání: 2012
Předmět:
Male
Pathology
MESH: Treatment Failure
Pulmonary Fibrosis
medicine.medical_treatment
MESH: Respiratory Function Tests
[SDV.MHEP.PSR]Life Sciences [q-bio]/Human health and pathology/Pulmonology and respiratory tract
Gastroenterology
0302 clinical medicine
Fibrosis
Clarithromycin
Pulmonary fibrosis
Treatment Failure
Enzyme Inhibitors
Interstitial lung disease
Esomeprazole
respiratory system
Anti-Bacterial Agents
Respiratory Function Tests
3. Good health
medicine.anatomical_structure
MESH: Enzyme Inhibitors
030220 oncology & carcinogenesis
medicine.drug
Adult
Pulmonary and Respiratory Medicine
medicine.medical_specialty
Prednisolone
Lung biopsy
03 medical and health sciences
MESH: Anti-Bacterial Agents
Internal medicine
medicine
Humans
MESH: Clarithromycin
Lung transplantation
Glucocorticoids
MESH: Humans
Lung
MESH: Pulmonary Fibrosis
business.industry
MESH: Esomeprazole Sodium
MESH: Adult
medicine.disease
MESH: Male
Radiography
030228 respiratory system
[SDV.MHEP.PSR] Life Sciences [q-bio]/Human health and pathology/Pulmonology and respiratory tract
Lung Diseases
Interstitial

MESH: Glucocorticoids
MESH: Prednisolone
Airway
business
MESH: Lung Diseases
Interstitial
Zdroj: Respiration
Respiration, Karger, 2013, 85 (2), pp.156-9. ⟨10.1159/000341982⟩
ISSN: 1423-0356
0025-7931
DOI: 10.1159/000341982
Popis: International audience; Airway-centered interstitial fibrosis (ACIF) is a distinct type of lung interstitial fibrosis characterized by lesions centered on the airways. Several cases reported in the literature showed little to no effect of corticosteroids and a high mortality rate in the absence of lung transplantation. No other efficient approach is described for the treatment of this type of fibrosis. We report for the first time the case of a 44-year-old patient diagnosed with ACIF on surgical lung biopsy and stabilized with clarithromycin after failure of systemic corticosteroids. We need to confirm this benefit in other patients to ascertain the anti-inflammatory effect of macrolides, which are far less harmful compared to corticosteroids or immunosuppressant drugs.
Databáze: OpenAIRE