Pulmonary capillary hemangiomatosis associated with CREST syndrome: a case report and review of the literature.
This is a report of fatality immediately after administration of epoprostenol. The patient was previously diagnosed with CREST syndrome and associated interstitial lung disease. She developed worsening pulmonary hypertension and was clinically diagnosed with pulmonary veno-occlusive disease. The patient developed flash pulmonary edema and arrested after administration of low-dose epoprostenol in the intensive care unit. An autopsy revealed the patient suffered from pulmonary capillary hemangiomatosis. We review our case and what is known about this rare disease.
McGuire
Franklin
F
University of South Carolina School of Medicine, 8 Medical Park, Columbia, SC 29203, USA. franklin.mcguire@uscmed.sc.edu
Kennelly
Tina
T
Tillack
Thomas
T
Robbins
Mark
M
D000959:Antihypertensive Agents / Q000008:administration & dosage / Q000009:adverse effects*; D001344:Autopsy; D017675:CREST Syndrome / Q000150:complications*; D011464:Epoprostenol / Q000008:administration & dosage / Q000009:adverse effects*; D017809:Fatal Outcome; D005260:Female; D018324:Hemangioma, Capillary / Q000175:diagnosis*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology; D017563:Lung Diseases, Interstitial / Q000150:complications; D008175:Lung Neoplasms / Q000175:diagnosis*; D011654:Pulmonary Edema / Q000139:chemically induced; D011668:Pulmonary Veno-Occlusive Disease / Q000175:diagnosis
D000959:Antihypertensive Agents; D011464:Epoprostenol