Chest
Volume 116, Issue 2, August 1999, Pages 569-572
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Selected Reports
Interferon-α Therapy Associated With the Development of Sarcoidosis

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Interferons (IFNs) have been implicated in the pathogenesis of sarcoidosis. In particular, IFN-γ has been linked to pulmonary macrophage activation, a characteristic feature of sarcoidosis. IFN-α is now being administered therapeutically in a variety of conditions. To date, IFN-α has not been implicated in the pathogenesis of sarcoidosis. We report the case of a 50-year-old woman who developed sarcoidosis while being treated with IFN-α for chronic myelogenous leukemia. Her disease activity correlated with the dosage of IFN-α. We speculate that the immunomodulatory effects of IFN-α triggered clinical manifestations of sarcoidosis in this patient.

Key words

autoimmune disease
interferon-α
sarcoidosis

Abbreviations

CML
chronic myelogenous leukemia
CXR
chest radiograph
Dlco
diffusing capacity of the lung for carbonmonoxide
IFN
interferon

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Supported by National Institutes of Health grant T32-HL07216.