Complete Resolution of Life-Threatening Bleomycin-Induced Pneumonitis After Treatment With Imatinib Mesylate in a Patient With Hodgkin's Lymphoma: Hope for Severe Chemotherapy-Induced Toxicity?
Author(s) -
Fabrizio CarnevaleSchianca,
Susanna Gallo,
Delia RotaScalabrini,
Dario Sangiolo,
Marco Fizzotti,
Daniela Caravelli,
Antonio Capaldi,
Giancarlo Anselmetti,
Erica Palesandro,
Lorenzo D’Ambrosio,
Valentina Coha,
R Obert,
Massimo Aglietta,
Giovanni Grignani
Publication year - 2011
Publication title -
journal of clinical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 10.482
H-Index - 548
eISSN - 1527-7755
pISSN - 0732-183X
DOI - 10.1200/jco.2011.35.6733
Subject(s) - medicine , bleomycin , imatinib mesylate , pneumonitis , chemotherapy , toxicity , lymphoma , oncology , imatinib , lung , myeloid leukemia
Bleomycin-induced pneumonitis (BIP) is a scarcely manageable pulmonary toxicity that occurs in approximately 20% of patients who are affected with cancers that are treated with bleomycin-containing regimens. Generally, the clinical picture is extremely complicated and therapy is based on steroids. The overall response rate to such therapy is limited. Recent insights in BIP pathogenesis have indicated that a key feature is deregulated mechanisms of tissue repair that are driven by profibrotic cytokines. Here we describe a patient with lifethreatening BIP who was completely cured with imatinib mesylate (IM) after steroids and all other therapies had failed.
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