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July 1, 1990Radiology

Vascular leak syndrome associated with interleukin-2: chest radiographic manifestations.

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Key result

High-dose interleukin-2 therapy was associated with alveolar edema in 21%, interstitial edema in 53%, and pleural effusions in 42% of patients during the first 5 days of therapy.

Population

19 patients undergoing the priming course of high-dose IL-2 therapy for metastatic melanoma and renal cell…

Design

Case_series

Follow-up

first 5 days of therapy

Authors

HMH MannUniversity of OttawaJWJohn H. WardUniversity of CambridgeWSWolfram E. SamlowskiUniversity of Nevada, Las Vegas

Discussion

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Implication

Radiographic IL-2 toxicity is common yet self-limited; extends early descriptions of vascular leak but leaves open relevance to current regimens.

Study Design

Type

Observational (n=19)

Structured PICO

P
Population
19 patients undergoing the priming course of high-dose IL-2 therapy for metastatic melanoma and renal cell carcinoma, evaluated during the first 5 days of therapy.
E
Exposure
High-dose interleukin-2 (IL-2) therapy
O
Outcome
Prevalence and patterns of pulmonary edema and pleural effusions on chest radiographssafety

High-dose IL-2 therapy frequently causes self-limited, increased-permeability pulmonary edema and pleural effusions, with a risk of fatal myocardial injury.

Cite This Study

Mann et al. (1990) conducted an observational in Metastatic melanoma and renal cell carcinoma (n=19). High-dose interleukin-2 (IL-2) therapy was evaluated on Prevalence and patterns of pulmonary edema and pleural effusions. High-dose interleukin-2 therapy was associated with alveolar edema in 21%, interstitial edema in 53%, and pleural effusions in 42% of patients during the first 5 days of therapy.

synapsesocial.com/papers/6ab73a36ac7734b25445cd07https://doi.org/10.1148/radiology.176.1.2353090
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cardiorespiratory effects of immunotherapy with interleukin-2.1989 · 247 citations
  2. 2Acute and Chronic Cardiopulmonary Effects of High Dose Interleukin-2 Therapy: An Observational Magnetic Resonance Imaging Study2022 · 3 citations
  3. 3Myocardial Toxic Effects During Recombinant Interleukin-2 Therapy1989 · 77 citations
  4. 4Cardiopulmonary toxicity of treatment with high dose interleukin-2 in 199 consecutive patients with metastatic melanoma or renal cell carcinoma1994 · 107 citations
  5. 5Isolated Left Ventricular Filling Abnormalities May Predict Interleukin-2-Induced Cardiovascular Toxicity1996 · 12 citations