Amiodarone - induced pulmonary nodules mimiking metastatic lung disease - investigation by somatostatin radio peptide scanning
Varney, V.A.; Warren, M.; Palmer, M.
Acute Medicine 4(2): 63-65
2005
ISSN/ISBN: 1747-4884 PMID: 21655520 Document Number: 10858
A 61 year old former paramedic presented to A&E complaining of palpitations. He was found to be in atrial fibrillation, which reverted spontaneously to sinus rhythm. A chest x-ray taken at that time showed multiple pulmonary nodules consistent with metastatic malignancy (Figure 1). In the past he had been treated with amiodarone 200mg daily for 6 years following a previous diagnosis of atrial fibrillation, which had been attributed to alcoholic cardiomyopathy. He had discontinued the drug 8 months earlier, after self diagnosing hypotension and bradycardia. A previous chest x-ray, taken before starting amiodarone, was normal.
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