title: Oxaliplatin-induced lung injury with allergic reaction.
abstract: A 79-year-old man was diagnosed as stage IV colon cancer and treated with a modified FOLFOX6 (mFOLFOX6) regimen. On the 12th cycle, we observed erythema and dyspnea. Radiographs showed ground grass opacities. Blood tests showed elevated levels of eosinophils and immunoglobulin E. We diagnosed this finding as response to drug allergy and administered high-dose methylprednisolone. The treatment was successful and he was discharged. The drug lymphocyte stimulating test against oxaliplatin was positive, indicating a type I and IV allergic reaction due to oxaliplatin. Regimens including oxaliplatin must be carefully monitored and frequent blood tests and chest radiographs are needed.
authors: Division of Allergology and Respiratory Medicine, Division of Internal Medicine, School of Medicine, Showa University, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, Japan.
authors: Tetsuya
authors: T
authors: Homma
authors: Masatsugu
authors: M
authors: Kurokawa
authors: Yoshitaka
authors: Y
authors: Yamamoto
authors: Satoshi
authors: S
authors: Matsukura
authors: Koushi
authors: K
authors: Ieki
authors: Shintaro
authors: S
authors: Suzuki
authors: Miho
authors: M
authors: Odaka
authors: Shin
authors: S
authors: Watanabe
authors: Munehiro
authors: M
authors: Yamaguchi
authors: Mitsuru
authors: M
authors: Adachi
keywords: Drug lymphocyte stimulating test; Drug-induced pneumonia; Immunoglobulin E; Oxaliplatin; mFOLFOX6