title: Chronic eosinophilic pneumonia due to radiographic contrast administration: an orphan disease?
abstract: Pulmonary eosinophilia comprises a heterogeneous group of diseases that are defined by eosinophilia in pulmonary infiltrates or in tissue. Drugs can cause almost all histopathologic patterns of interstitial pneumonias, such as cellular and fibrotic nonspecific interstitial pneumonia, pulmonary infiltrates and eosinophilia, organizing pneumonia, lymphocytic interstitial pneumonia, desquamative interstitial pneumonia, a pulmonary granulomatosis-like reaction, and a usual interstitial pneumonia-like pattern. We present a very rare case of chronic eosinophilic pneumonia due to radiographic contrast infusion diagnosed with video-assisted thoracoscopy. The patient after 1 year is still under corticosteroid treatment with the disease stabilized.
authors.affiliation: II Medical Clinic, Coburg Clinic, University of Würzburg, Germany.
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Hohenforst-Schmidt
authors.forename: Andreas
authors.initials: A
authors.lastname: Riedel
authors.forename: Paul
authors.initials: P
authors.lastname: Zarogoulidis
authors.forename: Christian
authors.initials: C
authors.lastname: Franke
authors.forename: Andreas
authors.initials: A
authors.lastname: Gschwendtner
authors.forename: Haidong
authors.initials: H
authors.lastname: Huang
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Machairiotis
authors.forename: Vasiliki
authors.initials: V
authors.lastname: Dramba
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Zarogoulidis
authors.forename: Johnannes
authors.initials: J
authors.lastname: Brachmann
mesh_terms: D002908:Chronic Disease; D003287:Contrast Media / Q000009:adverse effects*; D017023:Coronary Angiography / Q000009:adverse effects / Q000379:methods; D005500:Follow-Up Studies; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007472:Iohexol / Q000009:adverse effects / Q000031:analogs & derivatives*; D008297:Male; D008875:Middle Aged; D011657:Pulmonary Eosinophilia / Q000139:chemically induced* / Q000188:drug therapy / Q000503:physiopathology; D020775:Thoracic Surgery, Video-Assisted
chemical_list: D003287:Contrast Media; D005938:Glucocorticoids; D007472:Iohexol; C038192:iopromide