Interstitial pneumonia treated with intermittent cyclophosphamide pulse therapy

T. Harada, K. Takayama, K. Kimotsuki, K. Hidaka, H. Miyazaki, K. Kuwano, N. Hara

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Abstract

A 52-year-old woman was admitted to the hospital because of polyarthralgia and dry coughing. A chest X-ray film showed bilateral difuse reticulo-nodular shadows. A specimen obtained by transbronchial lung biopsy revealed alveolar septal thickening and infiltration by mononuclear cells. Interstitial pneumonia associated with rheumatoid arthritis was diagnosed. Interstitial pneumonia relapsed soon after the first pulse of corticosteroid therapy. Cyclophosphamide pulse therapy was given in addition to a second pulse of corticosteroid therapy: 700 mg of cyclophosphamide (500 mg/m2) was administered intravenously every month and the dose of steroids was gradually reduced. Cyclophosphamide pulse therapy was repeated three times and the dose of oral corticosteroids was reduced from 60 mg to 35 mg. There was no bone marrow suppression or hemorrhagic cystitis after the cyclophosphamide pulses. Eventually, corticosteroid therapy was stopped with no clinical deterioration. This case suggests that intermittent cyclophosphamide pulse therapy can be effective for treatment of interstitial pneumonia unresponsive to corticosteroids.

Original languageEnglish
Pages (from-to)1221-1226
Number of pages6
JournalJapanese Journal of Thoracic Diseases
Volume34
Issue number11
Publication statusPublished - Dec 1 1996

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All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine

Cite this

Harada, T., Takayama, K., Kimotsuki, K., Hidaka, K., Miyazaki, H., Kuwano, K., & Hara, N. (1996). Interstitial pneumonia treated with intermittent cyclophosphamide pulse therapy. Japanese Journal of Thoracic Diseases, 34(11), 1221-1226.