Sulfasalazine-induced extrinsic allergic alveolitis in a patient with psoriatic arthritis

Eur J Med Res. 2001 Nov 20;6(11):495-7.

Abstract

We report the first case of a well defined extrinsic allergic alveolitis as a complication of sulfasalazine therapy in a patient treated for psoriatic arthritis. CT of the chest showed small nodular densities over both lungs, BAL demonstrated a highly active lymphocytic alveolitis and transbronchial biopsies revealed lymphoplasmocytic interstitial infiltration. Sulfasalazine as causative agent was proven by an inadvertent rechallenge three years later and a positive lymphocyte transformation test. sulfasalazine; psoriatic arthritis; extrinsic allergic alveolitis

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Alveolitis, Extrinsic Allergic / chemically induced*
  • Alveolitis, Extrinsic Allergic / diagnostic imaging
  • Alveolitis, Extrinsic Allergic / immunology
  • Antirheumatic Agents / adverse effects*
  • Arthritis, Psoriatic / drug therapy*
  • Humans
  • Lymphocyte Activation
  • Male
  • Sulfasalazine / adverse effects*
  • Tomography, X-Ray Computed

Substances

  • Antirheumatic Agents
  • Sulfasalazine