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Microfabrication of Nanoporous Gold Patterns for Cell-material Interaction Studies
Published on: July 15, 2013
Gold pneumonitis. A case report with electronmicroscopy and electron probe analysis.
Clinical and Experimental Rheumatology
|October 1, 1986
Summary
Gold therapy for rheumatoid arthritis (RA) can cause severe lung disease. High gold concentrations in lung tissue, particularly in macrophages, were found in a patient with respiratory failure.
Area of Science:
- Pulmonary Medicine
- Rheumatology
- Toxicology
Background:
- Rheumatoid arthritis (RA) is a chronic autoimmune disease.
- Chrysotherapy, using gold compounds, was a treatment for RA.
- Interstitial pulmonary disease (IPD) is a known complication of some RA treatments.
Observation:
- A patient with classical RA developed severe IPD and respiratory failure during chrysotherapy.
- Lung tissue analysis revealed a high concentration of gold.
- Electron microscopy confirmed gold presence within lung macrophages.
Findings:
- Gold accumulation in lung macrophages may contribute to chrysotherapy-induced lung toxicity.
- The presence of gold in macrophages suggests a cellular mechanism for lung damage.
- This case highlights a potential adverse effect of gold treatment in RA patients.
Implications:
- Clinicians should monitor RA patients on chrysotherapy for respiratory symptoms.
- Understanding gold's pulmonary toxicity is crucial for risk-benefit assessment of gold-based therapies.
- Further research into the pathogenesis of gold-induced lung disease is warranted.
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