Table 1.
Variable | Case 1 | Case 2 | Case 3 | Case 4 |
---|---|---|---|---|
Age, years | 41 | 61 | 85 | 83 |
Statin/daily dose, mg | Rosuvastatin/10 | Rosuvastatin/10 | Atorvastatin/5 | Rosuvastatin/5 |
Duration of treatment, months | 0.33 | 12 | 1.75 | 2 |
Clinical symptoms | Dyspnoea, fever, cough | Dyspnoea, fever | Dyspnoea, fever, cough | Dyspnoea, fever |
HRCT findings | G | G, C, P | G, C, I, P | G, C |
Bronchoalveolar lavage fluid | ||||
Celluar profile, % (M/L/N/E) | 94.5/2.5/3/0 | 74/4/22/0 | 58.5/33/2.5/6 | 94.5/4.5/1/0 |
Foamy macrophages | + | + | + | + |
Sudan black smear | + | + | + | + |
Pulmonary function testing | ||||
Spirometry | Not done | Restrictive | Normal | Restrictive |
DLCO, % of predicted | Not done | 44 | 44 | 39 |
Laboratory findings* | ||||
ALT/AST | 33/63 | Not done | 24/36 | 33/23 |
CK | 240 | Not done | 79 | 10 |
CRP | 69.2 | 4.39 | 4.99 | 25.5 |
Treatment | ||||
Discontinuation of statin | + | + | + | + |
Steroid/daily dose, mg | Prednisolone/45 | Prednisolone/30 | Methylprednisolone/24 | Prednisolone/30 |
Outcome | Resolution | Resolution | Resolution | Resolution |
*ALT (reference, 0–40 U/l), AST (reference, 5–45 U/l), CK (reference, 27–168 U/l), CRP (reference, 0–0.5 mg/l).
ALT, alanine aminotransferase; AST, aspartate aminotransferase; C, consolidation; CK, creatinine kinase; CRP, C-reactive protein; DLCO, carbon monoxide diffusing capacity; E, eosinophil; G, ground-glass opacities; HRCT, high-resolution CT; I, interstitial opacities; L, lymphocyte; M, macrophage; N, neutrophil; P, pleural changes.