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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
|
pubmed:dateCreated |
1996-12-4
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pubmed:abstractText |
D-penicillamine-associated bronchiolitis obliterans (BO) is a rare but well-known pulmonary complication in patients with rheumatoid arthritis or progressive systemic sclerosis. It has been assumed that in most, if not all cases, BO is a complication of the underlying disease rather than a side-effect of treatment. We report the case of a 46 year old man with scleroderma localized to his lower legs (morphea), who received a daily dose of 750 mg D-penicillamine. During the treatment of 1 yr duration, he developed progressive shortness of breath due to a worsening obstructive ventilatory defect suggesting BO, which was confirmed by surgical lung biopsy (constrictive BO). Bronchial obstruction progressed over the next 5 yrs and did not respond to corticosteroids. The patient finally underwent a successful single left lung transplantation. The histological features of constrictive BO were confirmed in the explanted lung. This observation suggests that D-penicillamine may induce bronchiolitis obliterans in the absence of a systemic connective tissue disease.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Jun
|
pubmed:issn |
0903-1936
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
9
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
1317-9
|
pubmed:dateRevised |
2005-11-16
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pubmed:meshHeading |
pubmed-meshheading:8804954-Antirheumatic Agents,
pubmed-meshheading:8804954-Bronchiolitis Obliterans,
pubmed-meshheading:8804954-Humans,
pubmed-meshheading:8804954-Lung Transplantation,
pubmed-meshheading:8804954-Male,
pubmed-meshheading:8804954-Middle Aged,
pubmed-meshheading:8804954-Penicillamine,
pubmed-meshheading:8804954-Respiratory Function Tests,
pubmed-meshheading:8804954-Scleroderma, Systemic
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pubmed:year |
1996
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pubmed:articleTitle |
Bronchiolitis obliterans in a patient with localized scleroderma treated with D-penicillamine.
|
pubmed:affiliation |
Dept of Internal Medicine, University Hospital, Zuerich, Switzerland.
|
pubmed:publicationType |
Journal Article,
Review,
Case Reports
|