Emerging Risk Profile of Lung Cancer Therapy: Diffuse Alveolar Hemorrhage from Osimertinib

Osimertinib is an oral epithelial growth factor receptor tyrosine kinase inhibitor (EGFR-TKI) used primarily in the treatment of metastatic non-small cell lung cancer. It is usually well tolerated with less than 5% of patients developing significant pulmonary toxicity from the medication, typically...

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Main Authors: Michael J. Forte, Rahul G. Sangani
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2019/6185943
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author Michael J. Forte
Rahul G. Sangani
author_facet Michael J. Forte
Rahul G. Sangani
author_sort Michael J. Forte
collection DOAJ
description Osimertinib is an oral epithelial growth factor receptor tyrosine kinase inhibitor (EGFR-TKI) used primarily in the treatment of metastatic non-small cell lung cancer. It is usually well tolerated with less than 5% of patients developing significant pulmonary toxicity from the medication, typically within the first few months after initiation. Previously reported pulmonary adverse reactions include pneumonitis (nonspecific interstitial pneumonia or other forms of acute interstitial process), fleeting asymptomatic infiltrates on imaging, and eosinophilic pneumonia. We present an interesting case of a 65-year-old female with recurrent metastatic adenocarcinoma of the lung, treated with Osimertinib for 4 months, who developed a previously unreported toxicity of diffuse alveolar hemorrhage (DAH) requiring mechanical ventilatory support.
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spelling doaj-art-813edb2b8b1340beb6f9dbaffc4908e22025-08-20T02:08:53ZengWileyCase Reports in Oncological Medicine2090-67062090-67142019-01-01201910.1155/2019/61859436185943Emerging Risk Profile of Lung Cancer Therapy: Diffuse Alveolar Hemorrhage from OsimertinibMichael J. Forte0Rahul G. Sangani1West Virginia University, Department of Pulmonary and Critical Care Medicine, PO BOX 9166 1 Medical Center Drive, Morgantown, WV 26506, USAWest Virginia University, Department of Pulmonary and Critical Care Medicine, PO BOX 9166 1 Medical Center Drive, Morgantown, WV 26506, USAOsimertinib is an oral epithelial growth factor receptor tyrosine kinase inhibitor (EGFR-TKI) used primarily in the treatment of metastatic non-small cell lung cancer. It is usually well tolerated with less than 5% of patients developing significant pulmonary toxicity from the medication, typically within the first few months after initiation. Previously reported pulmonary adverse reactions include pneumonitis (nonspecific interstitial pneumonia or other forms of acute interstitial process), fleeting asymptomatic infiltrates on imaging, and eosinophilic pneumonia. We present an interesting case of a 65-year-old female with recurrent metastatic adenocarcinoma of the lung, treated with Osimertinib for 4 months, who developed a previously unreported toxicity of diffuse alveolar hemorrhage (DAH) requiring mechanical ventilatory support.http://dx.doi.org/10.1155/2019/6185943
spellingShingle Michael J. Forte
Rahul G. Sangani
Emerging Risk Profile of Lung Cancer Therapy: Diffuse Alveolar Hemorrhage from Osimertinib
Case Reports in Oncological Medicine
title Emerging Risk Profile of Lung Cancer Therapy: Diffuse Alveolar Hemorrhage from Osimertinib
title_full Emerging Risk Profile of Lung Cancer Therapy: Diffuse Alveolar Hemorrhage from Osimertinib
title_fullStr Emerging Risk Profile of Lung Cancer Therapy: Diffuse Alveolar Hemorrhage from Osimertinib
title_full_unstemmed Emerging Risk Profile of Lung Cancer Therapy: Diffuse Alveolar Hemorrhage from Osimertinib
title_short Emerging Risk Profile of Lung Cancer Therapy: Diffuse Alveolar Hemorrhage from Osimertinib
title_sort emerging risk profile of lung cancer therapy diffuse alveolar hemorrhage from osimertinib
url http://dx.doi.org/10.1155/2019/6185943
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