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논문 기본 정보

자료유형
학술저널
저자정보
저널정보
대한내과학회 대한내과학회지 대한내과학회지 제87권 제4호
발행연도
2014.1
수록면
496 - 500 (5page)

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In randomized phase 3 clinical trials azacitidine has been shown to prolong survival in patients with higher-risk myelodysplasticsyndrome (MDS). Therefore, azacitidine therapy should be considered for treating MDS patients with higher-risk disease. A 78-year-old male was administered the first cycle of azacitidine treatment for higher-risk MDS. On day three of chemotherapy he complainedof fever and dyspnea, and radiographic findings revealed bilateral perihilar-peribronchial infiltration and a small amount ofpleural effusion. Considering the possibility of pneumonia, intravenous broad-spectrum antibiotics were administered and azacitidinetherapy was discontinued. Upon improvement of the patient’s subjective symptoms and radiographic abnormalities, azacitidinetherapy was resumed. However, fever and dyspnea developed again upon recommencement of azacitidine therapy. A diagnosiswas made of azacitidine-induced lung injury and corticosteroid treatment was administered. Although lung injury is a rare complicationinduced by azacitidine, physicians should be aware of this life-threatening side effect.

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