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Updated: Jul 9, 2025

Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
Sartan-induced interstitial lung disease.
Caroline Dahlqvist1, Luc Delaunois1, Fabian Demeure2
1Department of Pulmonology, CHU UcL Namur Belgium.
Angiotensin receptor blockers (sartans) can cause lung toxicity. This case shows drug-induced interstitial lung disease from two different sartans in the same patient over a decade.
Area of Science:
- Pharmacology
- Pulmonology
- Toxicology
Background:
- Angiotensin receptor blockers (sartans) are widely prescribed medications.
- Lung toxicity associated with sartans is rarely documented in medical literature.
- This study focuses on a unique case of sartan-induced lung disease.
Observation:
- A 60-year-old male experienced interstitial lung disease symptoms, including dyspnea and hemoptysis, attributed to eprosartan in 2012.
- Symptoms resolved completely upon discontinuation of eprosartan.
- Ten years later, the patient developed similar symptoms and radiographic findings after initiating valsartan, another sartan.
Findings:
- The patient experienced two distinct episodes of drug-induced interstitial lung disease.
- Both episodes were linked to different sartans (eprosartan and valsartan).
- The clinical presentation and chest CT imaging were comparable between the two events.
Implications:
- This case highlights the potential for sartans to cause interstitial lung disease.
- It suggests that patients may react to multiple drugs within the sartan class.
- Further investigation into sartan-induced lung toxicity is warranted.
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