ABSTRACT
Patients with hematological malignancies or recipients of hematopoietic stem cell
transplants may develop myriad pulmonary manifestations, as a complication of either
the disease or the diverse agents used to treat the disease. Clinical, radiographic,
and physiological features of drug-induced and radiation-induced pulmonary injury
are often difficult to distinguish from other causes of pulmonary infiltrates (e.g.,
infections, pulmonary edema, alveolar hemorrhage, etc.). Fiberoptic bronchoscopy with
bronchoalveolar lavage (BAL) is essential to exclude infectious etiologies. In some
cases, surgical lung biopsies are required to establish a specific etiological diagnosis.
This review discusses the myriad causes of lung injury/toxicity that may afflict patients
with hematological malignancies or transplant recipients, and presents diagnostic
and therapeutic approaches.
KEYWORDS
Drug-induced pneumonitis - radiation pneumonitis - chemotherapy-induced lung
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Philippe CamusM.D.
Department of Pulmonary Medicine and Intensive Care, Hopital Le Bocage BP 1542, 21034
Dijon, France
eMail: philippe.camus@chu-dijon.fr
URL: http://www.pneumotox.com