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. 2012 Oct 5;89(1047):14–19. doi: 10.1136/postgradmedj-2011-130209

Table 1.

Demographic and clinical data of four patients with statin-induced lung injury diagnosed at our institute

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.