Combined prednisolone and pirfenidone in bleomycin-induced lung disease

J Cancer Res Ther. 2016 Jul-Sep;12(3):1198-1202. doi: 10.4103/0973-1482.197530.

Abstract

Bleomycin is a cytostatic drug commonly employed in the treatment of Hodgkin's disease, seminomas, and choriocarcinoma. Bleomycin may induce a chronic pulmonary inflammation that may progress to fibrosis. So far, only corticosteroids have been used in the treatment of bleomycin-induced lung disease with variable results. Pirfenidone is an antifibrotic drug that has been approved for the treatment of idiopathic pulmonary fibrosis. We report two cases of bleomycin-induced lung disease treated successfully with pirfenidone and oral corticosteroids.

Publication types

  • Case Reports

MeSH terms

  • Anti-Inflammatory Agents / therapeutic use*
  • Antibiotics, Antineoplastic / adverse effects*
  • Bleomycin / adverse effects*
  • Drug Therapy, Combination
  • Female
  • Humans
  • Lung Injury / diagnosis
  • Lung Injury / drug therapy*
  • Lung Injury / etiology*
  • Male
  • Middle Aged
  • Prednisolone / therapeutic use*
  • Pyridones / therapeutic use*
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Anti-Inflammatory Agents
  • Antibiotics, Antineoplastic
  • Pyridones
  • Bleomycin
  • Prednisolone
  • pirfenidone