Omalizumab as a Steroid-Sparing Agent in Chronic Eosinophilic Pneumonia


Kaya H., Gumus S., Ucar E., Aydogan M., Musabak U., Tozkoparan E., ...Daha Fazla

CHEST, cilt.142, sa.2, ss.513-516, 2012 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 142 Sayı: 2
  • Basım Tarihi: 2012
  • Doi Numarası: 10.1378/chest.11-1881
  • Dergi Adı: CHEST
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.513-516
  • Bursa Uludağ Üniversitesi Adresli: Hayır

Özet

Chronic eosinophilic pneumonia (CEP) is an idiopathic eosinophilic pulmonary disease characterized by an abnormal and marked accumulation of eosinophils in the lung. Common presenting complaints include cough, fever, dyspnea, wheezing, and night sweats. Common laboratory abnormalities are peripheral blood and BAL eosinophilia. The pathognomonic radiographic finding is bilateral peripheral infiltrates. Corticosteroids are the mainstay of therapy, and dramatic improvement follows treatment. Relapses are common, and most patients require prolonged therapy. Side effects associated with chronic corticosteroid therapy must be monitored. Our case was that of a 36-year-old woman who had characteristic clinical and radiologic features. She was treated with corticosteroids but she needed prolonged therapy, and side effects occurred. Because the patient had high IgE levels and a positive skin prick test result, we used omalizumab for the treatment. The patient responded well. To our knowledge, this is the first CEP case in the literature successfully treated with omalizumab. CHEST 2012; 142(2):513-516