[A case of valsartan-induced pneumonitis with marked elevation of serum KL-6]

Nihon Kokyuki Gakkai Zasshi. 2011 Jul;49(7):523-7.
[Article in Japanese]

Abstract

A 64-year-old man, who had been treated with valsartan for hypertension since about 2 months previously, was admitted with exertional dyspnea. A chest X-ray film on admission showed infiltrative shadows in bilateral lower lung fields. Chest computed tomographic images showed diffuse ground-glass opacities, consolidation and traction bronchiectasis. His serum KL-6 level was markedly elevated, to 7,360 U/ml. Despite the withdrawal of valsartan, his symptoms deteriorated, and a drug lymphocyte stimulation test was positive for valsartan. Based on these findings, we diagnosed valsartan-induced pneumonitis. Glucocorticoids were administered, and his symptoms, chest radiograph findings and serum KL-6 level all improved. Currently, angiotensin II receptor blockers (ARBs), including valsartan, are often used as the first drug of choice to treat hypertension, but they can cause drug-induced pneumonitis. It has been previously reported that serum KL-6 levels may reflect the clinical activity of drug-induced pneumonitis. In cases of drug-induced pneumonitis with a high level of serum KL-6, glucocorticolds should be started at an early stage.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Angiotensin II Type 1 Receptor Blockers / adverse effects*
  • Antihypertensive Agents / adverse effects*
  • Humans
  • Male
  • Middle Aged
  • Mucin-1 / blood*
  • Pneumonia / blood
  • Pneumonia / chemically induced*
  • Tetrazoles / adverse effects*
  • Valine / adverse effects
  • Valine / analogs & derivatives*
  • Valsartan

Substances

  • Angiotensin II Type 1 Receptor Blockers
  • Antihypertensive Agents
  • MUC1 protein, human
  • Mucin-1
  • Tetrazoles
  • Valsartan
  • Valine