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Updated: Jun 5, 2026

Murine Intrapulmonary Tracheal Transplantation: A Model for Investigating Obliterative Airway Disease After Lung Transplantation
Published on: November 10, 2023
Multifocal nodular periostitis associated with prolonged voriconazole therapy in a lung transplant recipient
Asad Ayub1, Charles V Kenney, Fergus E McKiernan
1Department of Internal Medicine, Memorial Hospital, Jacksonville, FL 32216, USA. draayub@gmail.com
Abstract:
We report a case of painful, nodular periostitis in a lung transplant recipient on long-term voriconazole therapy. Symptoms, signs, and laboratory abnormalities resolved quickly after drug withdrawal. The presentation more closely resembles periostitis deformans than hypertrophic osteoarthropathy, suggesting that the fluoride moiety of voriconazole may be pathogenic for this condition. Clinicians should be aware of this association.
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