[Pneumopathies caused by hypersensitivity to amiodarone and associated nephropathies. Study by alveolar lavage]

Autor: I, Caubarrère, G, Bonan, A, Venet, J, Chebat, D, Uzzan, J, Gilbert, H, Beaufils
Jazyk: francouzština
Rok vydání: 1985
Předmět:
Zdroj: Annales de medecine interne. 136(4)
ISSN: 0003-410X
Popis: Four cases of amiodarone-induced restrictive, hypoxaemic lung disease are described. The cumulative dosages of amiodarone were relatively low (30 to 100 g). Alveolar lavage studies showed a lymphocytosis and study of the lymphocytic sub-populations showed an increase in the OKT8 group, and an inversion of the OKT4/OKT8 ratio. The outcome was favourable on withdrawal of amiodarone and steroid therapy. The immunological origin of this form of lung disease was confirmed. Two patients had renal failure; in the first case, hypercalcaemia, hyperphosphoremia and renal calcification were observed. The second patient had endo- and extracapillary glomerulonephritis with C3 deposits and circulating immune complexes. Renal failure regressed in both cases on withdrawal of amiodarone and with steroid therapy.
Databáze: OpenAIRE