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Updated: Mar 13, 2026

Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
Rituximab-induced lung disease.
W A Wan Zaidi1, W F Wan Jamaludin2, N R Tumian2
1Universiti Kebangsaan Malaysia Medical Centre, Faculty of Medicine, Cell Therapy Centre, Kuala Lumpur, Malaysia. wanfariza@ppukm.ukm.edu.my.
Rituximab therapy can cause rare but fatal lung disease, typically by the fourth treatment cycle. Early detection, excluding infections, and corticosteroid treatment are vital for managing this Rituximab-associated lung injury.
Area of Science:
- Oncology
- Pulmonology
- Immunology
Background:
- Rituximab is a widely used monoclonal antibody therapy.
- While generally safe, Rituximab can rarely cause pulmonary toxicity.
- Rituximab-associated lung disease poses a mortality risk despite early detection.
Purpose of the Study:
- To highlight the occurrence and management of Rituximab-associated lung disease.
- To emphasize the importance of early diagnosis and intervention.
Main Methods:
- Review of reported cases and clinical guidelines.
- Exclusion of concurrent pathologies like infections.
- Diagnostic confirmation via radiological imaging and histology.
Main Results:
- Pulmonary toxicity typically manifests around the fourth Rituximab cycle.
- Prompt initiation of corticosteroid therapy is recommended.
- Patient counseling on respiratory symptoms is crucial.
Conclusions:
- A high index of suspicion is necessary for diagnosing Rituximab-induced lung injury.
- Integrated diagnostic and therapeutic strategies improve patient outcomes.
- Awareness and patient education are key to managing this rare complication.
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