Cryptogenic Organizing Pneumonia
CELALETTİN KORKMAZ, TURGUT TEKE, RESUL ALTUNTAŞ, DURDU MEHMET YAVŞAN, SONER DEMİRBAŞ, PINAR DOĞAN
- Year : 2016
- Vol : 32
- Issue : Ek
- Page :
53-55
Organizing pneumonia (OP) is characterized histopathology cally
by tufts of fibroblasts and immature collagen filling of respiratory
bronchioles and alveoli. Symptoms are usually nonspecific and
include cough and dyspnea. Radiograph cally, OP frequently
manifests as patchy bilateral infiltrates that can be relapsing and
migratory. Cryptogenic organizing pneumonia (COP) may be defined
as having non-specific symptoms which can ultimately be described
as a subset of the OP that cannot be attributed to any reason.
Forty-nine-year-old female patient admitted with the complaints of
2 year exertional dyspnea and 20 day dry cough. The patient was
diagnosed of pneumonia and prescribed with antibiotics; however,
no improvement was observed in her complaints and lung graphics.
The physical examination of the patient, routine laboratory analyses,
collagen tissue markers and bronchoscopy were normal. In chest
X-Ray, there were 4 nodular density approximately 1 cm in size, in
the upper zone. In thorax CT, there were irregular contours multiple
nodules, and the biggest one was approximately 35x7 mm in the
upper lobes and in the superior of the left lower lobe of lungs. Acid
fast bacteria was negative at bronchoalveolar lavage. The patient
was diagnosed COP as clinically and radiologically. Then, systemic
cortico steroid therapy was started. A complete clinical recovery was
observed in the sixth month of the treatment and at the control thorax
CT displayed that nodular lesions were disappeared completely. In
the cases that were not respond to antibiotic therapy and patients
having radiologically mobile and temporary infiltrations may be taken
into consideration in the differential diagnosis.
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None of the authors, any product mentioned in this article,
does not have a material interest in the device or drug. Research,
not supported by any external organization.
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Cryptogenic Organizing Pneumonia
2016,
Vol.
32
(Ek)
Received : 28.10.2015,
Accepted : 28.10.2015,
Published Online : 13.08.2018
Selçuk Tıp Dergisi
ISSN:1017-6616;
E-ISSN:2149-8059;