Bortezomib-Induced Bronchiolitis Obliterans Organizing Pneumonia

Introduction. Bortezomib is a proteasome inhibitor indicated for the treatment of multiple myeloma patients. The most frequent side effects are gastrointestinal and neurological. Serious pulmonary complications have been described rarely. Observation. This case involves a 74-year-old man suffering f...

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Main Authors: E. Vandeix, F. Favard, N. Pichon, M. Delage-Corre, B. Melloni, M. Clavel
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Pulmonology
Online Access:http://dx.doi.org/10.1155/2012/430141
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author E. Vandeix
F. Favard
N. Pichon
M. Delage-Corre
B. Melloni
M. Clavel
author_facet E. Vandeix
F. Favard
N. Pichon
M. Delage-Corre
B. Melloni
M. Clavel
author_sort E. Vandeix
collection DOAJ
description Introduction. Bortezomib is a proteasome inhibitor indicated for the treatment of multiple myeloma patients. The most frequent side effects are gastrointestinal and neurological. Serious pulmonary complications have been described rarely. Observation. This case involves a 74-year-old man suffering from IgG Kappa myeloma treated with bortezomib, melphalan, and dexamethasone. After administering chemotherapy, the patient developed an acute respiratory distress syndrome (ARDS). A surgical pulmonary biopsy proved the existence of bronchiolitis obliterans organizing pneumonia (BOOP) lesions. Systemic corticotherapy led to a rapid improvement in the patient’s condition. Conclusion. This is the first reported histologically confirmed case of bortezomid-induced BOOP. Faced with severe respiratory symptoms in the absence of other etiologies, complications due to bortezomid treatment should be evoked and corticotherapy considered.
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spelling doaj-art-69e6edfc790a45e9b661309e13db61782025-02-03T06:07:45ZengWileyCase Reports in Pulmonology2090-68462090-68542012-01-01201210.1155/2012/430141430141Bortezomib-Induced Bronchiolitis Obliterans Organizing PneumoniaE. Vandeix0F. Favard1N. Pichon2M. Delage-Corre3B. Melloni4M. Clavel5Medical-Surgical Intensive Care Unit, Dupuytren University Hospital, 2 Avenue Martin Luther King, 87000 Limoges, FranceMedical-Surgical Intensive Care Unit, Dupuytren University Hospital, 2 Avenue Martin Luther King, 87000 Limoges, FranceMedical-Surgical Intensive Care Unit, Dupuytren University Hospital, 2 Avenue Martin Luther King, 87000 Limoges, FranceDepartment of Pathology, Dupuytren University Hospital, 2 Avenue Martin Luther King, 87000 Limoges, FranceDepartment of Pulmonology, Dupuytren University Hospital, 2 Avenue Martin Luther King, 87000 Limoges, FranceMedical-Surgical Intensive Care Unit, Dupuytren University Hospital, 2 Avenue Martin Luther King, 87000 Limoges, FranceIntroduction. Bortezomib is a proteasome inhibitor indicated for the treatment of multiple myeloma patients. The most frequent side effects are gastrointestinal and neurological. Serious pulmonary complications have been described rarely. Observation. This case involves a 74-year-old man suffering from IgG Kappa myeloma treated with bortezomib, melphalan, and dexamethasone. After administering chemotherapy, the patient developed an acute respiratory distress syndrome (ARDS). A surgical pulmonary biopsy proved the existence of bronchiolitis obliterans organizing pneumonia (BOOP) lesions. Systemic corticotherapy led to a rapid improvement in the patient’s condition. Conclusion. This is the first reported histologically confirmed case of bortezomid-induced BOOP. Faced with severe respiratory symptoms in the absence of other etiologies, complications due to bortezomid treatment should be evoked and corticotherapy considered.http://dx.doi.org/10.1155/2012/430141
spellingShingle E. Vandeix
F. Favard
N. Pichon
M. Delage-Corre
B. Melloni
M. Clavel
Bortezomib-Induced Bronchiolitis Obliterans Organizing Pneumonia
Case Reports in Pulmonology
title Bortezomib-Induced Bronchiolitis Obliterans Organizing Pneumonia
title_full Bortezomib-Induced Bronchiolitis Obliterans Organizing Pneumonia
title_fullStr Bortezomib-Induced Bronchiolitis Obliterans Organizing Pneumonia
title_full_unstemmed Bortezomib-Induced Bronchiolitis Obliterans Organizing Pneumonia
title_short Bortezomib-Induced Bronchiolitis Obliterans Organizing Pneumonia
title_sort bortezomib induced bronchiolitis obliterans organizing pneumonia
url http://dx.doi.org/10.1155/2012/430141
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