Granulocyte Colony-stimulating Factor-induced Aortitis with Lung Injury, Splenomegaly, and a Rash During Treatment for Recurrent Extraosseous Mucinous Chondrosarcoma

Intern Med. 2021 Apr 15;60(8):1311-1315. doi: 10.2169/internalmedicine.5913-20. Epub 2020 Nov 16.

Abstract

We herein report a case of aortitis induced by granulocyte colony-stimulating factor (G-CSF) that coincided with lung injury, splenomegaly, and cutaneous manifestations during treatment for recurrent extraosseous mucinous chondrosarcoma. Computed tomography revealed large-vessel vasculitis, splenomegaly, and pulmonary interstitial changes. Treatment with prednisolone was successful. Because sarcoma is a rare disease, this case is valuable for showing clinicians that G-CSF preparations could cause aortitis regardless of the patient's underlying diseases or therapeutic pharmacological backgrounds.

Keywords: G-CSF; aortitis; pegfilgrastim; sarcoma.

Publication types

  • Case Reports

MeSH terms

  • Aortitis* / chemically induced
  • Aortitis* / diagnostic imaging
  • Aortitis* / drug therapy
  • Chondrosarcoma*
  • Exanthema*
  • Granulocyte Colony-Stimulating Factor
  • Humans
  • Lung Injury*
  • Neoplasm Recurrence, Local
  • Splenomegaly / chemically induced
  • Splenomegaly / drug therapy

Substances

  • Granulocyte Colony-Stimulating Factor