Imatinib-induced interstitial pneumonitis – a literature review and case report

Imatinib is generally well tolerated, with mild common side effects such as nausea and vomiting, diarrhea, muscle cramps, fatigue, skin rash and edema; however, pulmonary complications are uncommon. A 73-year-old woman undergoing one month treatment with Imatinib for chronic myeloid neoplasm associa...

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Main Authors: Olga Hilda Orasan, Andreea Maria Stefan, Iulia Minciuna, Adela Sitar-Taut, George Ciulei, Simina Tarmure, Ioana Para, Flaviu Muresan, Ovidiu Fabian, Sorina Cezara Coste, Vasile Negrean, Angela Cozma, Laura Urian
Format: Article
Language:English
Published: Ion Motofei, Carol Davila University 2020-04-01
Series:Journal of Mind and Medical Sciences
Subjects:
Online Access:https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1227&context=jmms
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author Olga Hilda Orasan
Andreea Maria Stefan
Iulia Minciuna
Adela Sitar-Taut
George Ciulei
Simina Tarmure
Ioana Para
Flaviu Muresan
Ovidiu Fabian
Sorina Cezara Coste
Vasile Negrean
Angela Cozma
Laura Urian
author_facet Olga Hilda Orasan
Andreea Maria Stefan
Iulia Minciuna
Adela Sitar-Taut
George Ciulei
Simina Tarmure
Ioana Para
Flaviu Muresan
Ovidiu Fabian
Sorina Cezara Coste
Vasile Negrean
Angela Cozma
Laura Urian
author_sort Olga Hilda Orasan
collection DOAJ
description Imatinib is generally well tolerated, with mild common side effects such as nausea and vomiting, diarrhea, muscle cramps, fatigue, skin rash and edema; however, pulmonary complications are uncommon. A 73-year-old woman undergoing one month treatment with Imatinib for chronic myeloid neoplasm associated with eosinophilia was admitted for sudden alteration of her performance status, dyspnea at rest and productive cough. On clinical examination, the patient was hypoxic (oxygen saturation on room air was 87%), and auscultation of her lungs revealed diffuse bilateral fine crackles. Computed tomography showed bilateral pulmonary interstitial syndrome. Imatinib was discontinued and the patient received systemic corticosteroid therapy and oxygen therapy. After one month, the symptoms and radiological findings were resolved. When Imatinib therapy was resumed, respiratory symptoms reappeared, which is why treatment with Imatinib was interrupted. Imatinib-induced pneumonitis should take into consideration when patients develop respiratory symptoms or abnormal pulmonary radiological features.
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spelling doaj.art-b40bb6103ec346988c4b636c7da552112022-12-21T18:27:34ZengIon Motofei, Carol Davila UniversityJournal of Mind and Medical Sciences2392-76742392-76742020-04-0171949910.22543/7674.71.P9499Imatinib-induced interstitial pneumonitis – a literature review and case reportOlga Hilda Orasan0Andreea Maria Stefan1Iulia Minciuna2Adela Sitar-Taut3George Ciulei4Simina Tarmure5Ioana Para6Flaviu Muresan7Ovidiu Fabian8Sorina Cezara Coste9Vasile Negrean10Angela Cozma11Laura Urian12IULIU HATIEGANU UNIVERSITY OF MEDICINE AND PHARMACY CLUJ-NAPOCA, 4TH MEDICAL DEPARTMENT, CLUJ-NAPOCA, ROMANIA; PROF. DR. OCTAVIAN FODOR REGIONAL INSTITUTE OF GASTROENTEROLOGY AND HEPATOLOGY, CLUJ-NAPOCA, ROMANIA; PROF. DR. OCTAVIAN FODOR REGIONAL INSTITUTE OF GASTROENTEROLOGY AND HEPATOLOGY, CLUJ-NAPOCA, ROMANIA; IULIU HATIEGANU UNIVERSITY OF MEDICINE AND PHARMACY CLUJ-NAPOCA, 4TH MEDICAL DEPARTMENT, CLUJ-NAPOCA, ROMANIA; PROF. DR. OCTAVIAN FODOR REGIONAL INSTITUTE OF GASTROENTEROLOGY AND HEPATOLOGY, CLUJ-NAPOCA, ROMANIA; IULIU HATIEGANU UNIVERSITY OF MEDICINE AND PHARMACY CLUJ-NAPOCA, 4TH MEDICAL DEPARTMENT, CLUJ-NAPOCA, ROMANIA; IULIU HATIEGANU UNIVERSITY OF MEDICINE AND PHARMACY CLUJ-NAPOCA, 4TH MEDICAL DEPARTMENT, CLUJ-NAPOCA, ROMANIA; IULIU HATIEGANU UNIVERSITY OF MEDICINE AND PHARMACY CLUJ-NAPOCA, 4TH SURGICAL DEPARTMENT, CLUJ-NAPOCA, ROMANIA; IULIU HATIEGANU UNIVERSITY OF MEDICINE AND PHARMACY CLUJ-NAPOCA, 4TH SURGICAL DEPARTMENT, CLUJ-NAPOCA, ROMANIA; PROF. DR. OCTAVIAN FODOR REGIONAL INSTITUTE OF GASTROENTEROLOGY AND HEPATOLOGY, CLUJ-NAPOCA, ROMANIA; IULIU HATIEGANU UNIVERSITY OF MEDICINE AND PHARMACY CLUJ-NAPOCA, 4TH MEDICAL DEPARTMENT, CLUJ-NAPOCA, ROMANIA; IULIU HATIEGANU UNIVERSITY OF MEDICINE AND PHARMACY CLUJ-NAPOCA, 4TH MEDICAL DEPARTMENT, CLUJ-NAPOCA, ROMANIA; IULIU HATIEGANU UNIVERSITY OF MEDICINE AND PHARMACY CLUJ-NAPOCA, HEMATOLOGY DEPARTMENT, CLUJ-NAPOCA, ROMANIA;Imatinib is generally well tolerated, with mild common side effects such as nausea and vomiting, diarrhea, muscle cramps, fatigue, skin rash and edema; however, pulmonary complications are uncommon. A 73-year-old woman undergoing one month treatment with Imatinib for chronic myeloid neoplasm associated with eosinophilia was admitted for sudden alteration of her performance status, dyspnea at rest and productive cough. On clinical examination, the patient was hypoxic (oxygen saturation on room air was 87%), and auscultation of her lungs revealed diffuse bilateral fine crackles. Computed tomography showed bilateral pulmonary interstitial syndrome. Imatinib was discontinued and the patient received systemic corticosteroid therapy and oxygen therapy. After one month, the symptoms and radiological findings were resolved. When Imatinib therapy was resumed, respiratory symptoms reappeared, which is why treatment with Imatinib was interrupted. Imatinib-induced pneumonitis should take into consideration when patients develop respiratory symptoms or abnormal pulmonary radiological features.https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1227&context=jmmsimatinib-induced pneumonitisantineoplastic agentsadverse drug reactions
spellingShingle Olga Hilda Orasan
Andreea Maria Stefan
Iulia Minciuna
Adela Sitar-Taut
George Ciulei
Simina Tarmure
Ioana Para
Flaviu Muresan
Ovidiu Fabian
Sorina Cezara Coste
Vasile Negrean
Angela Cozma
Laura Urian
Imatinib-induced interstitial pneumonitis – a literature review and case report
Journal of Mind and Medical Sciences
imatinib-induced pneumonitis
antineoplastic agents
adverse drug reactions
title Imatinib-induced interstitial pneumonitis – a literature review and case report
title_full Imatinib-induced interstitial pneumonitis – a literature review and case report
title_fullStr Imatinib-induced interstitial pneumonitis – a literature review and case report
title_full_unstemmed Imatinib-induced interstitial pneumonitis – a literature review and case report
title_short Imatinib-induced interstitial pneumonitis – a literature review and case report
title_sort imatinib induced interstitial pneumonitis a literature review and case report
topic imatinib-induced pneumonitis
antineoplastic agents
adverse drug reactions
url https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1227&context=jmms
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