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Case Reports
. 2021 Nov;87(11):4467-4469.
doi: 10.1111/bcp.14861. Epub 2021 Apr 27.

Aortic intramural haematoma associated with the use of nintedanib

Jeresa I A Willems  1 , Guy J M Mostard  1 , Remy L M Mostard  2 , Jacqueline Buijs  1 , Daan J L van Twist  1
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Free article
Case Reports

Aortic intramural haematoma associated with the use of nintedanib

Jeresa I A Willems et al. Br J Clin Pharmacol. 2021 Nov.
Free article

Abstract

We report a 74-year-old patient who developed an acute aortic syndrome (AAS) with intramural haematoma (IMH) during treatment with nintedanib, a tyrosine kinase inhibitor. As we suspected a role for nintedanib, this was immediately interrupted. Four months later, a computed tomographic angiography (CTA) showed significant regression of the IMH. Therefore, we state that, when patients use nintedanib and develop acute chest or back pain, diagnostic work-up for AAS should be considered. Furthermore, other risk factors for AAS, such as hypertension, genetic diseases and comedication should be taken into account when prescription of medication of this class is considered.

Keywords: adverse drug reactions; medication safety; respiratory medicine; vascular disease.

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References

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