Pulmonary arterial hypertension in a patient with common variable immunodeficiency and unilateral bronchiectasis: Successful treatment with iloprost.

Daniil, Z; Karetsi, E; Zakynthinos, E; Bakratsi, E; Kalala, F; Gourgoulianis, K I

Daniil, Z; Karetsi, E; Zakynthinos, E; Bakratsi, E; Kalala, F; Gourgoulianis, K I.

Afiliación

Daniil Z; Department of Respiratory Medicine, Medical School, University of Thessaly, University Hospital of Larissa, 41110 Mezourlo, Larissa, Greece.

Eur J Intern Med ; 18(4): 333-5, 2007 Jul.

Article en En | MEDLINE | ID: mdl-17574112

RESUMEN

The present study describes a case of severe pulmonary arterial hypertension (PAH) associated with unilateral lung destruction due to bronchiectasis in a patient with common variable immunodeficiency (CVID). Initially, the patient's treatment included antibiotics, oral anticoagulants, diuretics, and immunoglobulin replacement therapy. However, the patient's condition improved significantly only after inhaled iloprost was administered. Three months later, his PAH was almost reversed. The hemodynamic response of our patient suggests that inhaled iloprost may have a role in the treatment of sustained PAH related to unilateral lung destruction.

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Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Eur J Intern Med Asunto de la revista: MEDICINA INTERNA Año: 2007 Tipo del documento: Article País de afiliación: Grecia Pais de publicación: Países Bajos

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