The Drug-Induced Respiratory Disease Website
(Fr: PnP avec granulomes). 2018 review at PMID 29698718. Characteristically nonnecrotizing, noninfectious, sterile granulomas. Although this is a pathologic pattern, the condition is suspected on a miliary appearance on imaging. Hilar/mediastinal lymphadenopathy can be present. May mimic pulmonary and/or systemic sarcoidosis. Concomittant skin lesions may show granulomas. A confirmarptory lung biopsy may be required (See under Pathology XIV). Careful exclusion of mycobacterial, fungal and Pneumocystis infection is crucial (See PMID 10678649, 18054121, 17257125).
Publications
Mesalazine-induced eosinophilic variant of Wegener's granulomatosis in an ulcerative colitis patient.
Journal of Ayub Medical College, Abbottabad : JAMC 2009 Oct-Dec;21;171-3 — 2009 Oct-Dec — 171-3
Mesalamine-induced pneumonitis during therapy for chronic inflammatory bowel disease: a pediatric case report.
Journal of pediatric gastroenterology and nutrition 2005 Oct;41;479-82 — 2005 Oct — 479-82
Mesalamine-related lung disease: clinical, radiographic, and pathologic manifestations.
Inflammatory bowel diseases 2003 Sep;9;308-15 — 2003 Sep — 308-15