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Published on: March 17, 2014
[The respiratory complications of D-Penicillamine therapy (author's transl)]
Abstract:
The literature is reviewed on patients developing respiratory symptoms while receiving D-Penicillamine, most of whom suffered from rheumatoid arthritis. The manifestations were (in decreasing frequency) bronchiolitis obliterans, interstitial pneumonitis, a Good pasture's like syndrome and bronchospasm. For each complication we discuss diagnostic criteria, the implication of the drug and the pathogenesis. In addition we make suggestions regarding patients on D-Penicillamine and emphasize the need for accurate reporting of adverse pulmonary effects to enlarge the epidemiological picture.
Insights
D-Penicillamine can cause serious lung problems like bronchiolitis obliterans and interstitial pneumonitis, especially in rheumatoid arthritis patients. Accurate reporting of these adverse pulmonary effects is crucial for understanding their frequency and impact.
Area of Science:
- Pulmonary Medicine
- Rheumatology
- Pharmacology
Context:
- D-Penicillamine is a chelating agent used to treat rheumatoid arthritis and other conditions.
- Respiratory symptoms are a potential adverse effect of D-Penicillamine therapy.
- Patients with rheumatoid arthritis are a primary population experiencing D-Penicillamine-induced pulmonary complications.
Purpose:
- To review the literature on D-Penicillamine-induced respiratory symptoms.
- To detail the various pulmonary manifestations associated with D-Penicillamine.
- To discuss diagnostic criteria, drug implications, and pathogenesis of these adverse effects.
Summary:
- The review covers bronchiolitis obliterans, interstitial pneumonitis, Goodpasture's-like syndrome, and bronchospasm as key respiratory complications.
- Diagnostic criteria and pathogenesis for each condition are explored.
- The review highlights the importance of accurate reporting of pulmonary adverse events to improve epidemiological data.
Impact:
- Provides clinicians with essential information for diagnosing and managing D-Penicillamine-induced lung diseases.
- Emphasizes the need for vigilance and reporting of adverse pulmonary events.
- Contributes to a better understanding of the drug's pulmonary toxicity and patient safety.
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