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Ground Glass Appearance During the Pandemic Period: Everolimus Induced Interstitial Pneumonia

Year 2022, , 126 - 129, 01.04.2022
https://doi.org/10.46310/tjim.1078775

Abstract

Ground glass appearance is a nonspecific finding that can see in diseases such as chronic interstitial disease, acute alveolar disease or infection; however, it is most commonly encountered in COVID-19 pulmonary involvement today. The mammalian target of rapamycin (mTOR) plays a regulatory role in cell proliferation and growth. Everolimus is an allosteric mTOR inhibitor used in ER+ breast cancers and inhibits the mTOR functional complex. Here, we present a case of interstitial pneumonia due to everolimus, which can be confused with COVID-19 pneumonia due to its ground-glass appearance during the pandemic period.

References

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  • Parekh M, Donuru A, Balasubramanya R, Kapur S. Review of the chest CT differential diagnosis of ground-glass opacities in the COVID era. Radiology. 2020 Dec;297(3):E289-E302. doi: 10.1148/radiol.2020202504.
  • Lee EYP, Ng MY, Khong PL. COVID-19 pneumonia: what has CT taught us? Lancet Infect Dis. 2020 Apr;20(4):384-385. doi: 10.1016/S1473-3099(20)30134-1.
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  • Murugan AK. mTOR: Role in cancer, metastasis and drug resistance. Semin Cancer Biol. 2019 Dec;59:92-111. doi: 10.1016/j. semcancer.2019.07.003.
  • Leung EY, Askarian-Amiri M, Finlay GJ, Rewcastle GW, Baguley BC. Potentiation of growth inhibitory responses of the mTOR inhibitor everolimus by dual mTORC1/2 inhibitors in cultured breast cancer cell lines. PLoS One. 2015 Jul 6;10(7):e0131400. doi: 10.1371/journal.pone.0131400.
  • Lopez P, Kohler S, Dimri S. Interstitial lung disease associated with mTOR inhibitors in solid organ transplant recipients: Results from a large phase iii clinical trial program of everolimus and review of the literature. J Transplant. 2014;2014:305931. doi: 10.1155/2014/305931.
Year 2022, , 126 - 129, 01.04.2022
https://doi.org/10.46310/tjim.1078775

Abstract

References

  • Alhamad EH, Cosgrove GP. Interstitial lung disease: the initial approach. Med Clin North Am. 2011 Nov;95(6):1071-93. doi: 10.1016/j.mcna.2011.08.008.
  • Parekh M, Donuru A, Balasubramanya R, Kapur S. Review of the chest CT differential diagnosis of ground-glass opacities in the COVID era. Radiology. 2020 Dec;297(3):E289-E302. doi: 10.1148/radiol.2020202504.
  • Lee EYP, Ng MY, Khong PL. COVID-19 pneumonia: what has CT taught us? Lancet Infect Dis. 2020 Apr;20(4):384-385. doi: 10.1016/S1473-3099(20)30134-1.
  • Matsuno O. Drug-induced interstitial lung disease: mechanisms and best diagnostic approaches. Respir Res. 2012 May 31;13(1):39. doi: 10.1186/1465-9921-13-39.
  • Murugan AK. mTOR: Role in cancer, metastasis and drug resistance. Semin Cancer Biol. 2019 Dec;59:92-111. doi: 10.1016/j. semcancer.2019.07.003.
  • Leung EY, Askarian-Amiri M, Finlay GJ, Rewcastle GW, Baguley BC. Potentiation of growth inhibitory responses of the mTOR inhibitor everolimus by dual mTORC1/2 inhibitors in cultured breast cancer cell lines. PLoS One. 2015 Jul 6;10(7):e0131400. doi: 10.1371/journal.pone.0131400.
  • Lopez P, Kohler S, Dimri S. Interstitial lung disease associated with mTOR inhibitors in solid organ transplant recipients: Results from a large phase iii clinical trial program of everolimus and review of the literature. J Transplant. 2014;2014:305931. doi: 10.1155/2014/305931.
There are 7 citations in total.

Details

Primary Language English
Subjects ​Internal Diseases
Journal Section Case Reports
Authors

Sidelya Ecem Yiğit 0000-0002-9961-4066

İffet Beril Gökmen 0000-0003-4986-200X

Yıldız Okuturlar 0000-0002-1994-0014

Publication Date April 1, 2022
Submission Date February 24, 2022
Acceptance Date March 9, 2022
Published in Issue Year 2022

Cite

EndNote Yiğit SE, Gökmen İB, Okuturlar Y (April 1, 2022) Ground Glass Appearance During the Pandemic Period: Everolimus Induced Interstitial Pneumonia. Turkish Journal of Internal Medicine 4 126–129.

e-ISSN: 2687-4245 

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