Rituximab-CHOP induced interstitial pneumonitis in patients with disseminated extranodal marginal zone B cell lymphoma

被引:22
作者
Kim, Kwang Min [1 ]
Kim, Ho-Cheol [1 ,3 ]
Jeon, Kyung-Nyeo [2 ,3 ]
Kim, Hoon-Gu [1 ,3 ,4 ]
Kang, Jung Hun [1 ,3 ,4 ]
Hahm, Jong Ryeal [1 ,3 ]
Lee, Gyeong-Won [1 ,3 ,4 ]
机构
[1] Gyeongsang Natl Univ, Coll Med, Dept Internal Med, Div Hematol Oncol, Jinju 660702, South Korea
[2] Gyeongsang Natl Univ, Coll Med, Dept Diagnost Radiol, Jinju 660702, South Korea
[3] Gyeongsang Inst Hlth Sci, Jinju, South Korea
[4] Gyeongnam Reg Canc Ctr, Jinju, South Korea
关键词
interstitial pneumonitis; rituximab; lymphoma;
D O I
10.3349/ymj.2008.49.1.155
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 69-year-old male was diagnosed in February 2004 with stage IV extranodal marginal zone B cell lymphoma involving the mediastinal nodes, lung parenchyma and bone marrow with high LDH. Shortness of breath developed following the 5th course of Rituximab-CHOP chemotherapy (cyclophosphamide, Vincristine, Doxorubicin, Prednisolone). Bronchoscopy guided transbronchial lung biopsy revealed interstitial thickening and type II pneumocyte activation, compatible with interstitial pneumonitis. After treatment with prednisolone a complete resolution of the dyspnea was observed. The patient was well on routine follow-up at the outpatient clinic, with no progression of lymphoma or interstitial pneumonitis.
引用
收藏
页码:155 / 158
页数:4
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