Diffuse Spontaneous Laryngeal Hemorrhage with Trastuzumab

Drug-induced epithelial hemorrhage of the endolarynx is an unusual etiology of hemoptysis. We present a case of hemoptysis in a young female patient undergoing treatment for metastatic breast cancer with trastuzumab emtansine. Though previously associated with diffuse spontaneous hemorrhage of the g...

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Main Authors: Lauren Klute, Matthew Solverson, Christopher M. Bingcang, Jayme R. Dowdall
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2020/8818905
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author Lauren Klute
Matthew Solverson
Christopher M. Bingcang
Jayme R. Dowdall
author_facet Lauren Klute
Matthew Solverson
Christopher M. Bingcang
Jayme R. Dowdall
author_sort Lauren Klute
collection DOAJ
description Drug-induced epithelial hemorrhage of the endolarynx is an unusual etiology of hemoptysis. We present a case of hemoptysis in a young female patient undergoing treatment for metastatic breast cancer with trastuzumab emtansine. Though previously associated with diffuse spontaneous hemorrhage of the gingiva, there have not been reports of laryngeal hemorrhage with trastuzumab emtansine treatment. In this case report, we suggest that trastuzumab emtansine played a contributory role in the development of diffuse epithelial laryngeal hemorrhage and describe the pathophysiology, history, laryngoscopic findings, and management of this condition.
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spelling doaj-art-48c1920bbc3040fd9ce3b0b403e27c322025-02-03T06:46:53ZengWileyCase Reports in Otolaryngology2090-67652090-67732020-01-01202010.1155/2020/88189058818905Diffuse Spontaneous Laryngeal Hemorrhage with TrastuzumabLauren Klute0Matthew Solverson1Christopher M. Bingcang2Jayme R. Dowdall3University of Nebraska Medical Center, Department of Otolaryngology-Head and Neck Surgery, 981225 Nebraska Medical Center, Omaha, Nebraska 68198-1225, USAUniversity of Nebraska Medical Center, Department of Otolaryngology-Head and Neck Surgery, 981225 Nebraska Medical Center, Omaha, Nebraska 68198-1225, USAUniversity of Nebraska Medical Center, Department of Otolaryngology-Head and Neck Surgery, 981225 Nebraska Medical Center, Omaha, Nebraska 68198-1225, USAUniversity of Nebraska Medical Center, Department of Otolaryngology-Head and Neck Surgery, 981225 Nebraska Medical Center, Omaha, Nebraska 68198-1225, USADrug-induced epithelial hemorrhage of the endolarynx is an unusual etiology of hemoptysis. We present a case of hemoptysis in a young female patient undergoing treatment for metastatic breast cancer with trastuzumab emtansine. Though previously associated with diffuse spontaneous hemorrhage of the gingiva, there have not been reports of laryngeal hemorrhage with trastuzumab emtansine treatment. In this case report, we suggest that trastuzumab emtansine played a contributory role in the development of diffuse epithelial laryngeal hemorrhage and describe the pathophysiology, history, laryngoscopic findings, and management of this condition.http://dx.doi.org/10.1155/2020/8818905
spellingShingle Lauren Klute
Matthew Solverson
Christopher M. Bingcang
Jayme R. Dowdall
Diffuse Spontaneous Laryngeal Hemorrhage with Trastuzumab
Case Reports in Otolaryngology
title Diffuse Spontaneous Laryngeal Hemorrhage with Trastuzumab
title_full Diffuse Spontaneous Laryngeal Hemorrhage with Trastuzumab
title_fullStr Diffuse Spontaneous Laryngeal Hemorrhage with Trastuzumab
title_full_unstemmed Diffuse Spontaneous Laryngeal Hemorrhage with Trastuzumab
title_short Diffuse Spontaneous Laryngeal Hemorrhage with Trastuzumab
title_sort diffuse spontaneous laryngeal hemorrhage with trastuzumab
url http://dx.doi.org/10.1155/2020/8818905
work_keys_str_mv AT laurenklute diffusespontaneouslaryngealhemorrhagewithtrastuzumab
AT matthewsolverson diffusespontaneouslaryngealhemorrhagewithtrastuzumab
AT christophermbingcang diffusespontaneouslaryngealhemorrhagewithtrastuzumab
AT jaymerdowdall diffusespontaneouslaryngealhemorrhagewithtrastuzumab