PT  - JOURNAL ARTICLE
AU  - Edward M. Cordasco, Jr
AU  - Muzaffar Ahmad
AU  - Atul Mehta
AU  - Felipe Rubio
TI  - The effects of steroid therapy on pulmonary hypertension secondary to fibrosing mediastinitis
DP  - 1990 Oct 01
TA  - Cleveland Clinic Journal of Medicine
PG  - 647--652
VI  - 57
IP  - 7
4099  - http://www.ccjm.org/content/57/7/647.short
4100  - http://www.ccjm.org/content/57/7/647.full
SO  - Cleve Clin J Med1990 Oct 01; 57
AB  - Mediastinal fibrosis, a rare cause of pulmonary hypertension, may produce cough, dyspnea, and hemoptysis. Steroid therapy has been suggested for individuals with progressive symptoms, but data demonstrating the efficacy of such therapy are lacking. We present a case of pulmonary hypertension secondary to fibrosing mediastinitis. Hemodynamic and scintigraphic studies performed before and after a trial of corticosteroid therapy were unable to demonstrate any therapeutic benefit from the corticosteroids. In order to achieve better use of steroids for the treatment of this disease, we suggest that similar determinations be made on other patients with mediastinal fibrosis who receive such treatment.