Pulmonary complications of treatment with pegylated interferon for hepatitis C infection-Two case reports

Autor: Vinod S. Hegade, M.D. MRCP, Ruchit Sood, Dinesh Saralaya, Sulleman Moreea
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Annals of Hepatology, Vol 12, Iss 4, Pp 461-465 (2013)
Druh dokumentu: article
ISSN: 1665-2681
DOI: 10.1016/S1665-2681(19)31348-1
Popis: Pegylated interferon (Peg-IFN) in combination with ribavirin is the standard of care in the treatment of chronic hepatitis C (HCV). Peg-IFN is known to have a number of side effects but severe respiratory complications are uncommon. We report two cases, one of Peg-IFN induced interstitial pneumonitis (IP) and the other of bronchiolitis obliterans organising pneumonia (BOOP) in patients with chronic hepatitis C infection. In general, respiratory complications of Peg-IFN are mild and resolve with withdrawal of Peg-IFN. However, as illustrated in our first case fatal interstitial pneumonitis can occur. We present a review of the available literature on Peg-IFN induced lung toxicity. In conclusion, pulmonary toxicity with Peg-IFN is rare but fatality can occur. We highlight the importance of maintaining a high index of suspicion for early diagnosis and prompt treatment, which includes withdrawal of Peg-IFN and consideration of corticosteroid treatment.
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