A Jaw-Dropping Consequence: Nintedanib's Role in Osteonecrosis of the Jaw.

idiopathic pulmonary fibrosis and its comorbidities ipf medication-related osteonecrosis of the jaw nintedanib osteonecrosis of the jaw

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Jul 2024
Historique:
received: 26 05 2024
accepted: 18 07 2024
medline: 31 8 2024
pubmed: 31 8 2024
entrez: 29 8 2024
Statut: epublish

Résumé

Nintedanib, a tyrosine kinase inhibitor, is a cornerstone in the management of idiopathic pulmonary fibrosis through its anti-fibrotic effects; however, its impact on wound healing is less studied. We present a case of medication-related osteonecrosis of the jaw (MRONJ) following the initiation of nintedanib. The patient's presentation prompted a drug holiday of nintedanib, resulting in a marked improvement in her symptoms. MRONJ is a disease requiring a high index of suspicion, and the number of inciting medications continues to rise. Nintedanib, as an inhibitor of angiogenesis, may have contributed to poor wound healing following dental extraction, subsequently leading to MRONJ.

Identifiants

pubmed: 39205781
doi: 10.7759/cureus.65689
pmc: PMC11357727
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Pagination

e65689

Informations de copyright

Copyright © 2024, Rai et al.

Déclaration de conflit d'intérêts

Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

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Auteurs

Oshin Rai (O)

Internal Medicine, University of Florida College of Medicine - Jacksonville, Jacksonville, USA.

Kaitlyn N Romero (KN)

Internal Medicine, University of Florida College of Medicine - Jacksonville, Jacksonville, USA.

Natalie Shaykh (N)

Internal Medicine, University of Florida College of Medicine - Jacksonville, Jacksonville, USA.

Ricardo Caldas (R)

Internal Medicine, University of Florida College of Medicine - Jacksonville, Jacksonville, USA.

Vanshika Tripathi (V)

Internal Medicine, University of Florida College of Medicine - Jacksonville, Jacksonville, USA.

Rebekah M Padilla (RM)

Diagnostic Radiology, University of Florida College of Medicine - Jacksonville, Jacksonville, USA.

Abhinav Karan (A)

Internal Medicine, University of Florida College of Medicine - Jacksonville, Jacksonville, USA.

Hui Jun Guo (HJ)

Internal Medicine, University of Florida College of Medicine - Jacksonville, Jacksonville, USA.

Rafik Jacob (R)

Program for Adults with Intellectual and Developmental Disabilities, University of Florida College of Medicine - Jacksonville, Jacksonville, USA.

Classifications MeSH