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The Drug-Induced Respiratory Disease Website

Chemotherapy (antineoplastic) - Chemo agents

Collectively, antineoplastic chemotherapy, myeloablative and conditioning regimens for HSCT, alkylating chemo agents, regimens containing bleomycin, busulfan, cyclophosphamide, gemcitabine, taxanes, G-CSF, FOLFOX/FOLFIRI produce lung injury including pulmonary edema, ARDS, diffuse alveolar hemorrhage and noninfectious lung injury. See under each specific drug or agent including radiation therapy and/or TBI. In a sizable fraction of patients, identification of the causal agent is difficult. A likelihood analysis is performed relating incidence, clinical, imaging and pathologic pattern of injury and the specific drug. Toxicity in lung cancer see PMID 21283982. The risk of developing pulmonary toxicity with chemotherapy may be increased in patients with preexisting ILD or IPF (PMID 19420811, 23171837, 25316105)

I - Cardiac arrhythmia(s)/dysrhythmia(s) (AF, VT, VF, TdP) - QTc prolongation)

II - Myocardial dysfunction - Heart failure

III - Myocardial ischemia - Coronary artery disease

IV - Heart block (bundle branch-, AV-block)

VI - Cardiomyopathy

VIII - Valvular heart disease

XI - Pulmonary vasculopathies

XII - Pericardial involvement

XXVI - Neuromuscular dysfunction

XXXVI - Autoimmune syndromes - Systemic reactions or conditions

XXXVIII - Miscellaneous - Varia