Korean J Intern Med.  2001 Mar;16(1):36-39.

A Case of BOOP Developed during Bucillamine Treatment for Rheumatoid

• Lee YH
• Kim YR
• Ji JD
• Shim JJ
• Kang KH
• Lee JH
• Kim HK
• Song GG

Abstract

We describe a patient with rheumatoid arthritis(RA) who developed bronchiolitis obliterans organizing pneumonia(BOOP) during the treatment of bucillamine. A 51 year-old man was admitted to the hospital for an abnormal shadow on his chest radiogragh. He had been diagnosed as having RA 3 years previously and had been receiving 200 mg of bucillamine for 21 months. Two months prior to admission, he presented with a cough and his chest X-ray showed opacities in both lower lungs. He was treated with antibiotics for 2 months after the development of cough and lesions on the chest X-ray, but the symptoms and lung lesions became more aggravated. On admission, an HRCT revealed airspace consolidations in the subpleural space of both basal lungs and a CT-guided fine needle aspiration biopsy showed Masson's body filling air space, interstitial infiltration of acute and chronic inflammatory cells and type II cell hyperplasia, consistent with BOOP. Bucillamine was stopped and 50 mg of prednisolone was administered. His symptoms and infiltrations on the chest X-ray resolved. We suggest that bucillamine should be considered as a drug possibly associated with BOOP.

Keyword

Penicillamine; Bronchiolitis Obliterans Organizing Pneumonia; Arthritis, Rheumatoid

MeSH Terms

Anti-Inflammatory Agents, Non-Steroidal/therapeutic use
Anti-Inflammatory Agents, Non-Steroidal/adverse effects*
Arthritis, Rheumatoid/drug therapy*
Biopsy, Needle
Bronchiolitis Obliterans Organizing Pneumonia/diagnosis*
Bronchiolitis Obliterans Organizing Pneumonia/chemically induced*
Case Report
Cysteine/therapeutic use
Cysteine/analogs & derivatives
Cysteine/adverse effects*
Follow-Up Studies
Human
Male
Middle Age
Radiography, Thoracic
Risk Assessment
Tomography, X-Ray Computed