Pulmonary Complications of Azanucleoside Therapy in Patients with Myelodysplastic Syndrome and Acute Myelogenous Leukemia

Our primary aim was to identify potential risk factors and clinical outcome of azanucleoside induced pulmonary complications in patients with myelodysplastic syndrome (MDS) and Acute Myelogenous Leukemia (AML). We present an 89-year-old female with MDS derived AML who developed fatigability, hypoxem...

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Main Authors: Manuel Molina, Sarvari Yellapragada, Martha Mims, Effie Rahman, Gustavo Rivero
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2015/357461
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author Manuel Molina
Sarvari Yellapragada
Martha Mims
Effie Rahman
Gustavo Rivero
author_facet Manuel Molina
Sarvari Yellapragada
Martha Mims
Effie Rahman
Gustavo Rivero
author_sort Manuel Molina
collection DOAJ
description Our primary aim was to identify potential risk factors and clinical outcome of azanucleoside induced pulmonary complications in patients with myelodysplastic syndrome (MDS) and Acute Myelogenous Leukemia (AML). We present an 89-year-old female with MDS derived AML who developed fatigability, hypoxemia, and bilateral lung infiltrates indicating interstitial lung disease after 11 cycles of azanucleoside. In addition, we describe a cohort of six MDS patients with fever, cough, dyspnea, and pulmonary infiltrates at early time point during azanucleoside treatment. Early and late onset of pulmonary manifestations suggest different pathogenic mechanisms. Brief azanucleoside discontinuation and steroids led to rapid improvement in symptoms.
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language English
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series Case Reports in Hematology
spelling doaj-art-f3368ac74c0d4716a20809b25e6d5b3e2025-02-03T01:30:13ZengWileyCase Reports in Hematology2090-65602090-65792015-01-01201510.1155/2015/357461357461Pulmonary Complications of Azanucleoside Therapy in Patients with Myelodysplastic Syndrome and Acute Myelogenous LeukemiaManuel Molina0Sarvari Yellapragada1Martha Mims2Effie Rahman3Gustavo Rivero4St. Luke’s Episcopal Hospital, Houston, TX 77030, USABaylor College of Medicine, Section of Hematology and Oncology, 1 Baylor Plaza, Houston, TX 77030, USASt. Luke’s Episcopal Hospital, Houston, TX 77030, USABaylor College of Medicine, Section of Hematology and Oncology, 1 Baylor Plaza, Houston, TX 77030, USASt. Luke’s Episcopal Hospital, Houston, TX 77030, USAOur primary aim was to identify potential risk factors and clinical outcome of azanucleoside induced pulmonary complications in patients with myelodysplastic syndrome (MDS) and Acute Myelogenous Leukemia (AML). We present an 89-year-old female with MDS derived AML who developed fatigability, hypoxemia, and bilateral lung infiltrates indicating interstitial lung disease after 11 cycles of azanucleoside. In addition, we describe a cohort of six MDS patients with fever, cough, dyspnea, and pulmonary infiltrates at early time point during azanucleoside treatment. Early and late onset of pulmonary manifestations suggest different pathogenic mechanisms. Brief azanucleoside discontinuation and steroids led to rapid improvement in symptoms.http://dx.doi.org/10.1155/2015/357461
spellingShingle Manuel Molina
Sarvari Yellapragada
Martha Mims
Effie Rahman
Gustavo Rivero
Pulmonary Complications of Azanucleoside Therapy in Patients with Myelodysplastic Syndrome and Acute Myelogenous Leukemia
Case Reports in Hematology
title Pulmonary Complications of Azanucleoside Therapy in Patients with Myelodysplastic Syndrome and Acute Myelogenous Leukemia
title_full Pulmonary Complications of Azanucleoside Therapy in Patients with Myelodysplastic Syndrome and Acute Myelogenous Leukemia
title_fullStr Pulmonary Complications of Azanucleoside Therapy in Patients with Myelodysplastic Syndrome and Acute Myelogenous Leukemia
title_full_unstemmed Pulmonary Complications of Azanucleoside Therapy in Patients with Myelodysplastic Syndrome and Acute Myelogenous Leukemia
title_short Pulmonary Complications of Azanucleoside Therapy in Patients with Myelodysplastic Syndrome and Acute Myelogenous Leukemia
title_sort pulmonary complications of azanucleoside therapy in patients with myelodysplastic syndrome and acute myelogenous leukemia
url http://dx.doi.org/10.1155/2015/357461
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