Fibrosis — A Common Pathway to Organ Injury and Failure

To the Editor: In their review, Rockey et al. (March 19 issue) 1 do not include drugs as a possible trigger of lung and cardiac fibrosis. A well-recognized cause of pulmonary fibrosis is drugs — in particular, antineoplastic agents such as bleomycin, busulfan, cyclophosphamide, and carmustine. 2 Oth...

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Veröffentlicht in:The New England journal of medicine 2015-07, Vol.373 (1), p.95-96
Hauptverfasser: Ben Salem, Chaker, Slim, Raoudha, Fathallah, Neila, Urban, Maria L, Manenti, Lucio, Vaglio, Augusto, Rockey, Don C, Bell, P. Darwin, Hill, Joseph A
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container_end_page 96
container_issue 1
container_start_page 95
container_title The New England journal of medicine
container_volume 373
creator Ben Salem, Chaker
Slim, Raoudha
Fathallah, Neila
Urban, Maria L
Manenti, Lucio
Vaglio, Augusto
Rockey, Don C
Bell, P. Darwin
Hill, Joseph A
description To the Editor: In their review, Rockey et al. (March 19 issue) 1 do not include drugs as a possible trigger of lung and cardiac fibrosis. A well-recognized cause of pulmonary fibrosis is drugs — in particular, antineoplastic agents such as bleomycin, busulfan, cyclophosphamide, and carmustine. 2 Other drugs, such as nitrofurantoin, amiodarone, procainamide, flecainide, and penicillamine, have also been implicated. The prognosis in patients with fibrosis induced by alkylating agents is often poor, and the mortality rate is high. The changes in the lung include fibrosis of the alveolar septa and enlargement of the type II alveolar-lining cells. 2 Drug-induced pulmonary fibrosis . . .
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subjects Alkylating agents
Alveoli
Amiodarone
Antineoplastic drugs
Bleomycin
Busulfan
Cardiovascular disease
Cyclophosphamide
Fibrosis
Humans
Lung diseases
Multiple Organ Failure - etiology
Nitrofurantoin
Pulmonary fibrosis
Septum
title Fibrosis — A Common Pathway to Organ Injury and Failure
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