Interstitial pneumonia during treatment with rituximab Case report
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Abstract
Rituximab (RTX) is a chimeric anti-CD20 antibody. It plays an important role in the treatment of B-cell lymphomas and diseases of autoaggression. RTX-induced lung disease is a rare entity, which should be considered in those patients treated with RTX who present with pulmonary disorders with no clear evidence of infection. A 37-year-old woman suffering from CD20-positive DLBCL (diffuse large B-cell lymphoma) received two cycles of the R-CHOP (RTX, cyclophosphamide, doxorubicin, vincristine and prednisone) regimen. After the second cycle of immunochemotherapy, symptoms of interstitial pneumonia occurred. Having excluded all the other causes, it was diagnosed as a complication associated with the administration of RTX.
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Copyright: © Medical Education sp. z o.o. This is an Open Access article distributed under the terms of the Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). License (https://creativecommons.org/licenses/by-nc/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
Address reprint requests to: Medical Education, Marcin Kuźma (marcin.kuzma@mededu.pl)
References
2. Cha SI, Choi KJ, Shin KM et al. Risk factors for rituximab-induced interstitial lung diseases in patients with malignant lymphoma. Respiration 2013; 85(2): 175.
3. Nieuwenhuizen L, Verzijlbergen FJ, Wiltink E. et al. A possible role of 18F-FDG positron – emission tomography scanning in the early detection of rituximab-induced pneumonitis in patients with non-Hodgkins lymphoma. Haematologica 2008; 93: 1267-69.
4. Kanelli S, Ansell SM, Habermann T et al. Rituximab toxicity in patients with peripheral blood malignant B-cell lymphocytosis. Leukemia and Lymphoma 2001; 42(6): 1329-37.
5. Byrd JC, Peterson BL, Morrison VA et al. Randomized phase 2 study of fludarabine, with concurrent versus sequential treatment with rituximab in symptomatic, untreated patients with B-cell chronic lymphocytic leukemia: results from Cancer and Leukaemia Group B 9712 (CALGB 9712). Blood 2003; 101(1): 6-14.
6. Alexandrescu DT, Dutcher JP, O’Boyle K et al. Fatal intra-alveolar hemorrhage after rituximab in a patient with non-Hodgkin lymphoma. Leukemia and Lymphoma 2004; 45(11): 2321-25.
7. Hainsworth JD, Litchy S, Lamb MR et al. First-line treatment with brief-duration chemotherapy plus rituximab in elderly patients with intermediate-grade non-Hodgkin’s lymphoma: phase II trial. Clin Lymphoma 2003; 4: 36-42.
8. Burton C, Kaczmarski R, Jan-Mohamed R et al. Interstitial pneumonitis related to rituximab therapy. The New England Journal of Medicine 2003; 348(26): 2690-91.
9. Julien V, Perrin C, Peyrade F et al. A case of acute respiratory failure related to rituximabtherapy. Rev Mal Respir 2004; 21: 407-10.
10. Kimby E. Tolerability and safety of rituximab (MabThera). Cancer Treatment Reviews 2005; 31(6): 456-73.