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Case Report

Interstitial Pneumonitis Associated with Infliximab Therapy

EDITH VILLENEUVE, ANNE ST-PIERRE, and BOULOS HARAOUI

ABSTRACT.

Interstitial pneumonitis is a well documented, rare complication of methotrexate (MTX). We describe a patient with rheumatoid arthritis (RA) taking MTX for more than 3 years who then developed severe interstitial pneumonitis after a third infliximab infusion. Other similar cases are reviewed. Infliximab may potentiate pulmonary toxicity of MTX. (First Release April 15 2006; J Rheumatol 2006;33:1189–93) 

Key Indexing Terms:

PNEUMONITIS
INFLIXIMAB
METHOTREXATE
RHEUMATOID ARTHRITIS


From the Department of Rheumatology, Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada.

E. Villeneuve, MD, Rheumatology Trainee; A. St-Pierre, MD, Professor, Department of Rheumatology; B. Haraoui, MD, Professor, Department of Rheumatology.

Address reprint requests to Dr. B. Haraoui, Department of Rheumatology, Centre Hospitalier de l'Université de Montréal, Hôpital Notre-Dame, 1560 Sherbrooke Est, Montréal, Québec H2L 4M1, Canada.

Accepted for publication January 13, 2006.




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