Abstract
A patient treated with fluoxetin for a manic depressive disorder developed pulmonary inflammatory nodules with noncaseating giant cell granulomas, interstitial pneumonia and non-necrotizing vasculitis, whilst remaining asymptomatic. A progressive resolution of pulmonary nodules occurred after withdrawal of the offending agent, and the chest radiograph returned to normal in 9 months. The diagnosis was assessed by an open lung biopsy.
MeSH terms
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Antidepressive Agents, Second-Generation / adverse effects*
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Antidepressive Agents, Second-Generation / therapeutic use
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Depressive Disorder / drug therapy
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Diagnosis, Differential
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Female
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Fluoxetine / adverse effects*
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Fluoxetine / therapeutic use
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Granuloma, Giant Cell / chemically induced*
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Granuloma, Giant Cell / diagnosis
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Granuloma, Giant Cell / physiopathology
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Humans
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Lung Diseases / chemically induced*
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Lung Diseases / diagnosis
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Lung Diseases / physiopathology
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Middle Aged
Substances
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Antidepressive Agents, Second-Generation
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Fluoxetine