Increased Levels of Tumor Necrosis Factor–α Involved in Rituximab-Related Acute Pulmonary Fibrosis in Diffuse Large B-Cell Lymphoma
Author(s) -
Xueya Zhang,
XiZhe Guo,
Jingxin Pan
Publication year - 2015
Publication title -
american journal of clinical pathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.859
H-Index - 128
eISSN - 1943-7722
pISSN - 0002-9173
DOI - 10.1309/ajcpaff3rl0sabej
Subject(s) - rituximab , medicine , chills , cd20 , pulmonary fibrosis , lymphoma , diffuse large b cell lymphoma , methylprednisolone , gastroenterology , fibrosis , pathology , tumor necrosis factor alpha , immunology
Rituximab is a chimeric anti-CD20 monoclonal antibody with murine variable regions and human IgG1 constant regions that depletes B lymphocytes. It is used with increasing frequency in the treatment of patients with other hematologic malignancies and nonhematologic diseases for its safety and efficacy. Its major adverse effects are infusion related and most commonly consist of fever, chills, dyspnea, and hypotension. Rituximab-induced lung injury, such as interstitial pneumonitis and pulmonary fibrosis, is a rare complication but has been reported.
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