Leflunomide-induced interstitial pneumonitis: A rare occurrence in a case without underlying lung disease

Pneumonitis from leflunomide is uncommon due to leflunomide's relatively favorable drug profile. Leflunomide-induced pneumonitis (LEIP) is a rare condition reported mainly in Asia. We present a case of LEIP from an accidental leflunomide overdose in the setting of concomitant methotrexate use a...

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Main Authors: V.D. Villgran, E. Rabold, A. Nasrullah, B. Disilvio, O. Bajwa
Format: Article
Language:English
Published: Elsevier 2021-01-01
Series:Respiratory Medicine Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213007121001301
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author V.D. Villgran
E. Rabold
A. Nasrullah
B. Disilvio
O. Bajwa
author_facet V.D. Villgran
E. Rabold
A. Nasrullah
B. Disilvio
O. Bajwa
author_sort V.D. Villgran
collection DOAJ
description Pneumonitis from leflunomide is uncommon due to leflunomide's relatively favorable drug profile. Leflunomide-induced pneumonitis (LEIP) is a rare condition reported mainly in Asia. We present a case of LEIP from an accidental leflunomide overdose in the setting of concomitant methotrexate use and no underlying lung disease. Our patient was treated successfully with cholestyramine and steroids. Due to its high mortality, clinicians should be aware of this condition and its treatment.
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spelling doaj.art-d14c62c280dc4f1abc43fc8c9e24fc0d2022-12-21T23:34:02ZengElsevierRespiratory Medicine Case Reports2213-00712021-01-0133101468Leflunomide-induced interstitial pneumonitis: A rare occurrence in a case without underlying lung diseaseV.D. Villgran0E. Rabold1A. Nasrullah2B. Disilvio3O. Bajwa4Pulmonary & Critical Care Medicine, Allegheny Health Network, Pittsburgh, PA, United States; Corresponding author. Pulmonary & Critical Care Fellow – PGY5, Allegheny General Hospital, 320 East North Avenue, Pittsburgh, PA, 15212, United States.Pulmonary & Critical Care Medicine, Allegheny Health Network, Pittsburgh, PA, United StatesInternal Medicine, Allegheny Health Network, Pittsburgh, PA, United StatesPulmonary & Critical Care Medicine, Allegheny Health Network, Pittsburgh, PA, United StatesPulmonary & Critical Care Medicine, Allegheny Health Network, Pittsburgh, PA, United StatesPneumonitis from leflunomide is uncommon due to leflunomide's relatively favorable drug profile. Leflunomide-induced pneumonitis (LEIP) is a rare condition reported mainly in Asia. We present a case of LEIP from an accidental leflunomide overdose in the setting of concomitant methotrexate use and no underlying lung disease. Our patient was treated successfully with cholestyramine and steroids. Due to its high mortality, clinicians should be aware of this condition and its treatment.http://www.sciencedirect.com/science/article/pii/S2213007121001301LeflunomidePneumonitisMethotrexateInterstitial lung diseaseAdverse event
spellingShingle V.D. Villgran
E. Rabold
A. Nasrullah
B. Disilvio
O. Bajwa
Leflunomide-induced interstitial pneumonitis: A rare occurrence in a case without underlying lung disease
Respiratory Medicine Case Reports
Leflunomide
Pneumonitis
Methotrexate
Interstitial lung disease
Adverse event
title Leflunomide-induced interstitial pneumonitis: A rare occurrence in a case without underlying lung disease
title_full Leflunomide-induced interstitial pneumonitis: A rare occurrence in a case without underlying lung disease
title_fullStr Leflunomide-induced interstitial pneumonitis: A rare occurrence in a case without underlying lung disease
title_full_unstemmed Leflunomide-induced interstitial pneumonitis: A rare occurrence in a case without underlying lung disease
title_short Leflunomide-induced interstitial pneumonitis: A rare occurrence in a case without underlying lung disease
title_sort leflunomide induced interstitial pneumonitis a rare occurrence in a case without underlying lung disease
topic Leflunomide
Pneumonitis
Methotrexate
Interstitial lung disease
Adverse event
url http://www.sciencedirect.com/science/article/pii/S2213007121001301
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AT bdisilvio leflunomideinducedinterstitialpneumonitisarareoccurrenceinacasewithoutunderlyinglungdisease
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