PMID- 12006472 OWN - NLM STAT- MEDLINE DCOM- 20020611 LR - 20201208 IS - 0012-3692 (Print) IS - 0012-3692 (Linking) VI - 121 IP - 5 DP - 2002 May TI - Common features in the onset of ARDS after administration of granulocyte colony-stimulating factor. PG - 1716-20 AB - STUDY OBJECTIVE: Respiratory disturbance caused by ARDS has been reported during administration of granulocyte-colony stimulating factor. The clinical features of such respiratory distress were investigated in this study. DESIGN: Retrospective case review. SETTING: A 1,100-bed university teaching hospital. PATIENTS: Five patients who had dyspnea caused by ARDS develop after chemotherapy or bone marrow transplantation (BMT) at our hospital. INTERVENTIONS: None. MEASUREMENTS AND RESULTS: Levels of cytokines, human leukocyte antigen (HLA) typing, and the clinical course were analyzed to clarify common features. All five patients possessed HLA-B51 or HLA-B52, and all had fever and an enhanced inflammatory response at the time of the WBC nadir. The tumor necrosis factor (TNF)-alpha and interleukin (IL)-8 levels increased when respiratory distress syndrome occurred. CONCLUSIONS: If patients with HLA-B51 or HLA-B52 have infection develop at the time of WBC nadir after chemotherapy or BMT, ARDS may occur in association with elevation of TNF-alpha and IL-8 during WBC recovery. FAU - Takatsuka, Hiroyuki AU - Takatsuka H AD - Second Department of Internal Medicine, Hyogo College of Medicine, Nishinimiya, Hyogo, Japan. hematol@hyo-med.ac.jp FAU - Takemoto, Yoshinobu AU - Takemoto Y FAU - Mori, Ako AU - Mori A FAU - Okamoto, Takahiro AU - Okamoto T FAU - Kanamaru, Akihisa AU - Kanamaru A FAU - Kakishita, Eizo AU - Kakishita E LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Chest JT - Chest JID - 0231335 RN - 0 (Antineoplastic Agents) RN - 0 (HLA-B Antigens) RN - 0 (HLA-B51 Antigen) RN - 0 (HLA-B52 Antigen) RN - 0 (Interleukin-8) RN - 0 (Recombinant Proteins) RN - 0 (Tumor Necrosis Factor-alpha) RN - 143011-72-7 (Granulocyte Colony-Stimulating Factor) SB - IM CIN - Chest. 2002 May;121(5):1391-2. PMID: 12006416 MH - Adult MH - Antineoplastic Agents/adverse effects MH - Bone Marrow Transplantation/adverse effects MH - Female MH - Granulocyte Colony-Stimulating Factor/*adverse effects MH - HLA-B Antigens/analysis MH - HLA-B51 Antigen MH - HLA-B52 Antigen MH - Humans MH - Interleukin-8/blood/physiology MH - Leukocyte Count MH - Male MH - Middle Aged MH - Recombinant Proteins MH - Respiratory Distress Syndrome/blood/*chemically induced/physiopathology MH - Retrospective Studies MH - Tumor Necrosis Factor-alpha/analysis/physiology EDAT- 2002/05/15 10:00 MHDA- 2002/06/12 10:01 CRDT- 2002/05/15 10:00 PHST- 2002/05/15 10:00 [pubmed] PHST- 2002/06/12 10:01 [medline] PHST- 2002/05/15 10:00 [entrez] AID - S0012-3692(15)34899-6 [pii] AID - 10.1378/chest.121.5.1716 [doi] PST - ppublish SO - Chest. 2002 May;121(5):1716-20. doi: 10.1378/chest.121.5.1716.