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Updated: Jul 13, 2026

Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
Levetiracetam-induced diffuse interstitial lung disease
Scott D Newsome1, Lanny Y Xue, Timothy Jennings
1Department of Neurology, Albany Medical Center, Albany, NY 12208, USA. newsoms@mail.amc.edu
Insights
This study details the first reported case of diffuse interstitial lung disease caused by levetiracetam. Discontinuation of the anti-epileptic drug levetiracetam led to clinical improvement in a pediatric patient.
Area of Science:
- Pediatric Pulmonology
- Neurology
- Clinical Pharmacology
Background:
- Levetiracetam is a widely used anti-epileptic drug.
- Diffuse interstitial lung disease is a serious pulmonary condition.
- Aspiration pneumonia is common in children with neurological impairments.
Observation:
- A 9-year-old girl with epilepsy and cerebral palsy presented with refractory aspiration pneumonia.
- Her levetiracetam dosage was recently increased.
- Lung biopsy revealed a diffuse interstitial lung process.
Findings:
- Levetiracetam was identified as the likely cause of drug-induced interstitial pneumonitis.
- The patient's condition improved after levetiracetam withdrawal and steroid treatment.
Implications:
- This case highlights a rare but significant adverse effect of levetiracetam.
- Clinicians should consider levetiracetam-induced lung disease in patients with unexplained pulmonary symptoms.
- Further research is warranted to understand the mechanism of levetiracetam-induced lung injury.
Abstract:
The authors report the first case of levetiracetam-induced diffuse interstitial lung disease. The patient is a 9-year-old girl who was admitted to the pediatric intensive care unit for aspiration pneumonia. She has a history of epilepsy, cerebral palsy, mental retardation, asthma, and repeated hospitalizations for presumed aspiration pneumonia, which resolved with conventional medical treatment. She has been on low-dose levetiracetam for her epilepsy over the past 2 years, and the dosage was increased just prior to this admission. However, this time, with conventional treatment, the patient's aspiration pneumonia did not improve, which led to a lung biopsy. The biopsy demonstrated a diffuse interstitial process of relatively recent onset, with features consistent with diffuse lung disease. Levetiracetam was implicated in the pathogenesis of the interstitial pneumonitis. The patient improved clinically after the discontinuation of levetiracetam and with the treatment of steroids.
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