A case of amiodarone-induced pulmonary toxicity

J. J. Shim, S. H. Lee, J. M. Yoo, H. S. Suh, D. J. Oh, J. Y. Joh, K. H. In, S. H. Yoo, H. H. Kang, E. Y. Kang, Y. S. Chae

Research output: Contribution to journalArticle

Abstract

Amiodarone is a potent antiarrythmic agent used in the treatment of refractory tachyarrythmias and premature ventricular contractions. Amiodarone may be responsible for the frequent and various side effects including corneal deposits, abnormal liver function test, hyperthyriodism or hypothyroidism, bluish discoloration of the skin, neuropathies, and the others. However, pulmonary toxicity is most serious adverse reaction limiting the clinical efficacy. Rescently, we experienced a case of pulmonary toxicity induced by low dose 10-month amiodarone treatment for atrial fibrilation with rapid ventricular response. Lung biopsy reveals interstitial inflammation, fibrosis, hyperplasia of pneumocytes, and foamy macrophages. Respiratory symptoms and abnormal chest X-ray findings were nearly complete cleared after using steroid and withdrawal of amiodarone. We report a case of amiodarone-induced pulmonary toxicity with literature review.

Original languageEnglish
Pages (from-to)51-57
Number of pages7
JournalTuberculosis and Respiratory Diseases
Volume41
Issue number1
DOIs
Publication statusPublished - 1994

Keywords

  • amiodarone
  • lung
  • toxicity

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Infectious Diseases

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