Radiation pneumonitis is a well-described complication of chest radiotherapy administered to patients for mediastinal, breast, and lung tumors. Dyspnea, cough, and radiographic infiltrates within the field of radiation are typical symptoms and findings. Systemic corticosteroids are the traditionally accepted treatment, often with good clinical responses reported in a large number of patients. However, no randomized controlled trials exist to support their use. Inhaled steroids have been the mainstay in asthma treatment and have been used to reduce side effects of systemic corticosteroids. Inhaled steroids are being used on an increasing basis to treat other steroid responsive lung diseases such as sarcoidosis. This case report shows inhaled steroids being successfully used to treat radiation pneumonitis.
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