Propylthiouracil-induced vasculitis with alveolar hemorrhage confirmed by clinical, laboratory, computed tomography, and bronchoscopy findings : a case report and literature review
Joint Authors
Han, Jie
Chen, Bo
Yang, Xiaoqing
Sun, Shihai
Guo, Weina
Li, Xiaosheng
Guo, Zhongliang
Li, Ning
Zhang, Lei
Source
Iranian Red Crescent Medical Journal
Issue
Vol. 18, Issue 4 (30 Apr. 2016), pp.1-6, 6 p.
Publisher
Publication Date
2016-04-30
Country of Publication
United Arab Emirates
No. of Pages
6
Main Subjects
Topics
Abstract EN
Introduction: Propylthiouracil (PTU) is commonly used to treat hyperthyroidism and can induce antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis.
Although this is a rare side effect, ANCA-associated vasculitis can progress to severe disease if its diagnosis and treatment are delayed, leading to a poor prognosis.
Case Presentation: A 43-year-old woman with Graves’ disease developed pulmonary vasculitis and diffuse alveolar hemorrhage (DAH) associated with ANCA against myeloperoxidase and proteinase-3 that was confirmed by computed tomography (CT) and bronchoscopy and treated with PTU.
The symptoms and signs of alveolar hemorrhage were rapidly resolved after PTU withdrawal and treatment with corticosteroids.
After 6 months of follow-up, the patient maintained complete ANCA-negative clinical remission status, as confirmed by normal CT and bronchoscopy findings.
To our knowledge, this is the first documented case of bronchoscopic comparison of PTU-induced DAH before and after steroid treatment.
Conclusions: Patients treated with PTU should be closely monitored and followed up, even if the drug has been used for several years.
When patients develop progressive dyspnea with alveolar opacities on chest imaging that cannot be explained otherwise, alveolar hemorrhage should be an important differential diagnosis while investigating the case.
Early diagnosis and prompt discontinuation of the PTU treatment are essential for improving patient outcomes.
American Psychological Association (APA)
Chen, Bo& Yang, Xiaoqing& Sun, Shihai& Guo, Weina& Li, Xiaosheng& Zhang, Lei…[et al.]. 2016. Propylthiouracil-induced vasculitis with alveolar hemorrhage confirmed by clinical, laboratory, computed tomography, and bronchoscopy findings : a case report and literature review. Iranian Red Crescent Medical Journal،Vol. 18, no. 4, pp.1-6.
https://search.emarefa.net/detail/BIM-679522
Modern Language Association (MLA)
Chen, Bo…[et al.]. Propylthiouracil-induced vasculitis with alveolar hemorrhage confirmed by clinical, laboratory, computed tomography, and bronchoscopy findings : a case report and literature review. Iranian Red Crescent Medical Journal Vol. 18, no. 4 (Apr. 2016), pp.1-6.
https://search.emarefa.net/detail/BIM-679522
American Medical Association (AMA)
Chen, Bo& Yang, Xiaoqing& Sun, Shihai& Guo, Weina& Li, Xiaosheng& Zhang, Lei…[et al.]. Propylthiouracil-induced vasculitis with alveolar hemorrhage confirmed by clinical, laboratory, computed tomography, and bronchoscopy findings : a case report and literature review. Iranian Red Crescent Medical Journal. 2016. Vol. 18, no. 4, pp.1-6.
https://search.emarefa.net/detail/BIM-679522
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 5-6
Record ID
BIM-679522