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- Migiwa Ohgushi, Naruhiko Ogo, Toyoshi Yanagihara, Yukiko Harada, Kosuke Sumida, Ayaka Egashira, Tatsuma Asoh, Takashige Maeyama, and Seiji Yoshizawa.
- Department of General Medicine, Hamanomachi Hospital, Japan.
- Intern. Med. 2022 Feb 15; 61 (4): 585-589.
AbstractWith expansion of the COVID-19 pandemic, reports of post-COVID-19 interstitial lung disease (ILD) have been emerging. However, there are few reports regarding treatment. Some reports indicate that corticosteroids are effective for post-COVID-19 ILD, but the use of long-term corticosteroid carries risks of side effects. We administered tacrolimus to an elderly patient with post-COVID-19 ILD who suffered a respiratory failure relapse during steroid tapering. The respiratory status improved with tacrolimus in the post-acute phase, but pulmonary fibrosis progressed in the late phase. Tacrolimus may be effective for treating post-COVID-19 ILD in the post-acute phase, but it does not halt progression of pulmonary fibrosis.
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