Tuberc Respir Dis.
2005 Oct;59(4):413-417.
Insidious Onset of Amiodarone Pulmonary Toxicity Presented with Hemoptysis
- Affiliations
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- 1Department of Internal Medicine, University of Ulsan, Gangneung Asan Hospital, Gangneung, Korea. jbh@gnah.co.kr
- 2Department of Diagnostic Radiology, University of Ulsan, Gangneung Asan Hospital, Gangneung, Korea.
- 3Department of Diagnostic Pathology University of Ulsan, Gangneung Asan Hospital, Gangneung, Korea.
Abstract
- Amiodarone is widely used to control fatal arrhythmia. However, amiodarone therapy is associated with a relatively high incidence of pulmonary toxicity, up to 5 to 10%. Typical symptoms are nonspecific and often manifest as nonproductive cough, dyspnea and interstitial infiltrates in patients with acute pneumonitis or chronic fibrosis. However, hemoptysis is a very rare symptom of amiodarone pulmonary toxicity. We report a case of amiodarone pulmonary toxicity, who presented with hemoptysis and was successfully treated with the cessation of amiodarone, with review of the relevant literature.