Successful treatment of sarcoidosis-associated pulmonary hypertension with bosentan

Respiration. 2008;75(2):211-4. doi: 10.1159/000089815. Epub 2005 Nov 15.

Abstract

Sarcoidosis is a systemic granulomatous disease of unknown etiology, in which the lungs and intrathoracic lymph nodes are predominant sites of involvement. Pulmonary hypertension is a known complication of sarcoidosis. Treatment of sarcoidosis-associated pulmonary hypertension has traditionally focused on the initiation of systemic corticosteroids, but has had inconsistent results. We present a patient with sarcoidosis-associated pulmonary hypertension who achieved substantial clinical improvement with the dual endothelin receptor antagonist bosentan.

Publication types

  • Case Reports

MeSH terms

  • Antihypertensive Agents / pharmacology
  • Antihypertensive Agents / therapeutic use*
  • Bosentan
  • Endothelin-1 / antagonists & inhibitors*
  • Hemodynamics / drug effects
  • Humans
  • Hypertension, Pulmonary / drug therapy*
  • Hypertension, Pulmonary / etiology
  • Male
  • Middle Aged
  • Respiratory Function Tests
  • Sarcoidosis, Pulmonary / complications*
  • Sulfonamides / pharmacology
  • Sulfonamides / therapeutic use*

Substances

  • Antihypertensive Agents
  • Endothelin-1
  • Sulfonamides
  • Bosentan