Reactions 1704, p260 - 2 Jun 2018 Steroid induced diabetes mellitus and bronchopneumonia: 3 case reports In a prospective study of five patients, three men aged 54–74 years were described, of which two men developed steroid-induced diabetes mellitus during treatment with methylprednisolone and prednisone and the remaining one developed bronchopneumonia during treatment with cyclophosphamide, rituximab, methylprednisolone and prednisone [duration of treatments to reaction onsets and outcomes not stated; not all routes stated] The patients had IgG4 related tubulointerstitial nephritis (two patients) or IgG4 related retroperitoneal fibrosis (one patient) and received three pulses of IV methylprednisolone 15 mg/kg followed by oral prednisone 0.8 mg/kg/day (the dose was gradually reduced) along with 2 pulses of cyclophosphamide (on days 1 and 15) and four weekly rituximab 375mg/m2 infusions. Two additional doses of rituximab were administered at one and two months after the last weekly infusion. However, two patients (who had IgG4 related tubulointerstitial nephritis) developed steroid-induced diabetes-mellitus and the remaining one patient developed mild acute bronchopneumonia. The patients with steroid-induced diabetes were treated with transient insulin therapy, which was stopped along with prednisone. The patient who developed mild acute bronchopneumonia, was treated successfully with unspecified antibiotics. Author comment: "Patients #1 and #2 developed steroid- induced diabetes mellitus requiring transient insulin therapy. . .Patient #4 developed mild, acute bronchopneumonia during the course of immunosuppressive treatment". Quattrocchio G, et al. IgG4-related kidney disease: The effects of a Rituximab- based immunosuppressive therapy. Oncotarget 9: 21337-21347, No. 30, 20 Apr 2018. Available from: URL: http://doi.org/10.18632/oncotarget.25095 - Italy 803323705 0114-9954/18/1704-0001/$14.95 Adis © 2018 Springer International Publishing AG. All rights reserved Reactions 2 Jun 2018 No. 1704
Reactions Weekly – Springer Journals
Published: Jun 2, 2018
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