Pulmonary masses in a patient with blue-gray cutaneous hyperpigmentation.
Authors describe a case of pulmonary masses and estensive skin pigmentation: "blue-gray syndrome" occurred in a patient in amiodarone therapy who presented with progressive dyspnea, cough, and fever. The diagnosis was suspected by detection of a high attenuation of the pulmonary masses on the nonenhanced chest computed tomography (CT) and lots of foamy macrophages in the bronchoalveolar lavage fluid. Relief of respiratory symptoms and radiological improvement was achieved when amiodarone treatment was stopped.
Department of Respiratory Medicine, San Giovanni-Addolorata Hospital, Rome, Italy.
G
G
Facchini
S
S
Forte
Pr
P
Podda
F
F
Piro
S
S
Carlone
D000368:Aged; D000638:Amiodarone / Q000009:adverse effects*; D000889:Anti-Arrhythmia Agents / Q000009:adverse effects*; D001992:Bronchoalveolar Lavage Fluid; D005260:Female; D006801:Humans; D017495:Hyperpigmentation / Q000139:chemically induced*; D008168:Lung / Q000187:drug effects / Q000473:pathology; D008171:Lung Diseases / Q000139:chemically induced*; D016676:Macrophages, Alveolar / Q000187:drug effects / Q000378:metabolism; D013577:Syndrome; D014057:Tomography, X-Ray Computed
D000889:Anti-Arrhythmia Agents; D000638:Amiodarone