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The Drug-Induced Respiratory Disease Website

Typically noncardiac. Includies chest tightness. See also under pill-induced esophageal pathologies under XIh, XIi, XIk and XIax that may cause substernal pain. Dedicated review at PMID 9403280. See also under Vi. Can be substernal, or in other areas of the chest. Can be acute, transfixiating and worrisome. Sometimes called 'acute chest syndrome'. Lung findings on imaging can be minimal. Depending on drug and patient, this may correspond to acute pleuritis or pleuro-pneumonitis, subpleural consolidation, GERD, pulmonary vasospasm, tracheal irritation, acute coronary syndrome or remain unexplained (PMID 30697107). See also under pleuritic chest pain (XIc), drug-induced lupus, pleuro-pulmonary lupus and acute coronary syndrome. Differential diagnosis on imaging at PMID 26373647

Publications

Kim H, Hong B, Kim S, Kang SM, Park J

Chemotherapy-related cardiotoxicity and its symptoms in patients with breast cancer: a scoping review.

Systematic reviews 2024 Jun 27;13;167 — 2024 Jun 27 — 167

Ambrosy AP, Kunz PL, Fisher GA, Witteles RM

Capecitabine-induced chest pain relieved by diltiazem.

The American journal of cardiology 2012 Dec 01;110;1623-6 — 2012 Dec 01 — 1623-6