1. Methylphenidate causes chronic eosinophilic pneumonia
- Author
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Dhafer Alghamdi, Hamdan Jahdali, Abdullah Alharbi, Ahmad Alshehri, Bandar Alfirm, and Hanaa Bamefleh
- Subjects
allergy ,chronic eosinophilic pneumonia ,drug-induced lung injury ,methylphenidate ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 ,Diseases of the respiratory system ,RC705-779 - Abstract
A man who is 38 years old and diagnosed with attention-deficit hyperactivity disorder was prescribed methylphenidate. Three weeks later, he began experiencing progressive shortness of breath and coughing. Imaging of his chest showed patchy bilateral ground-glass opacities, and bronchoscopy revealed a 15% eosinophil count in his bronchoalveolar lavage. A transbronchial biopsy confirmed a diagnosis of eosinophilic pneumonia. The patient's condition improved when he was given steroids and stopped taking methylphenidate. However, he developed the same symptoms again a few days after restarting the medication, along with a skin rash. This strongly suggests that methylphenidate was the cause of his eosinophilic pneumonia.
- Published
- 2024
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