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. |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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