Amiodarone toxicity presenting as pulmonary mass and peripheral neuropathy: the continuing diagnostic challenge

Postgrad Med J. 2006 Jan;82(963):73-5. doi: 10.1136/pgmj.2005.040105.

Abstract

A 64 year old man receiving long term amiodarone treatment presented with dyspnea, cough, and weight loss. Radiographs and computed tomography showed a lung mass with associated multiple pulmonary nodules. Biopsies of the pulmonary mass showed foamy histiocytes without malignant cells. However, findings on FDG-PET scan were consistent with a malignant tumour. These findings on computed tomography and PET scan and the unusually late resolution of the pulmonary lesions after withdrawal of amiodarone treatment posed a challenging diagnostic problem.

Publication types

  • Case Reports

MeSH terms

  • Amiodarone / adverse effects*
  • Anti-Arrhythmia Agents / adverse effects*
  • Humans
  • Male
  • Middle Aged
  • Peripheral Nervous System Diseases / chemically induced*
  • Solitary Pulmonary Nodule / chemically induced*
  • Tachycardia, Ventricular / drug therapy

Substances

  • Anti-Arrhythmia Agents
  • Amiodarone