Table 1.
Case | Age, years | Sex | Smoking history | Primary symptoms | CXR | CT | p-m exposure | Estimated latency* | Drug | Impact after stopping |
---|---|---|---|---|---|---|---|---|---|---|
1 | 93 | F | Yes | Fatigue, dyspnea | Diffuse pulmonary fibrosis | Central bronchiectasis and scarring | 128 | 78 | Venlafaxine | Improvement |
2 | 90 | F | Yes | Fatigue | No lung disease | Bilateral peripheral sub-pleural reticular opacity consistent with pulmonary fibrosis | 287 | 72 | Venlafaxine, paroxetine | Not stopped |
3 | 92 | F | No | Cough, mucous, dyspnea, wheeze | Chronic changes are again noted in both lung apices and left lower lobe Consolidation | Cylindrical bronchiectasis, ground glass opacities, fine and coarse reticulations nodularity | 376 | 19 | Duloxetine, venlafaxine | Improvement |
4 | 75 | M | Yes | Fatigue | No lung disease | Parenchymal scarring in lower lobes and pleural thickening | 72 | 54 | Duloxetine, citalopram | Not stopped |
5 | 90 | F | Yes | Dyspnea, fatigue | Left basilar scarring | Not available | 161 | 37 | Venlafaxine, duloxetine, escitalopram | Not stopped |
6 | 91 | F | No | Dyspnea, fatigue | Bilateral interstitial markings in bases suggestive of interstitial lung disease | Not available | 92 | 11 | Duloxetine | Not stopped |
7 | 88 | F | Yes | Cough, mucous, dyspnea, wheeze | Bilateral coarse peripheral reticular interstitial opacities in lower lobes | Bilateral idiopathic pulmonary fibrosis with honeycombing patchy airspace consolidation, bronchiectasis in left lung base | 531 | 109 | Fluoxetine | Improvement |
8 | 93 | F | Yes | Cough, mucous, dyspnea | Left basilar scarring/atelectasis | Chronic bronchial wall thickening, bilateral lower lobe bronchiectasis with inflammatory changes | 33 | 19 | Paroxetine | Improvement |
9 | 91 | M | No | Fatigue | Extensive interstitial markings consistent with pulmonary fibrosis | None available | 26 | 8 | Paroxetine | No change |
10 | 85 | M | Yes | Fatigue, cough, wheeze | Scarring left lung base | None available | 84 | 35 | Sertraline | Not stopped |
11 | 86 | F | Yes | Cough, fatigue, dyspnea | Extensive bilateral reticular interstitial opacity worse in periphery and lower lung zones consistent with pulmonary fibrosis | Interstitial changes in lung peripheries of upper and lower lobes, pulmonary fibrosis, honeycombing in both bases | 0 | Not applicable | None | Not applicable |
12 | 85 | F | Yes | Cough | None available | Peripheral fibrosis, honeycombing, traction bronchiectasis | 0 | Not applicable | None | Not applicable |
Note:
Months between initial exposure and first radiological abnormality.
Abbreviations: CXR, chest X-ray; CT, computed tomography; p-m, person-month; F, female; M, male.