Open AccessCase of cryptogenic organizing pneumonia
Author(s) -
Yuliya G. Belotserkovskaya,
И. Е. Тюрин,
С Н Швайко
Publication year - 2020
Publication title -
consilium medicum
Language(s) - English
Resource type - Journals
eISSN - 2542-2170
pISSN - 2075-1753
DOI - 10.26442/20751753.2020.11.200412
Subject(s) - medicine , cryptogenic organizing pneumonia , pulmonologist , bronchoalveolar lavage , pneumonia , lung , bronchiolitis obliterans organizing pneumonia , high resolution computed tomography , radiology , computed tomography , pathology , organizing pneumonia , interstitial pneumonia , intensive care medicine , bronchiolitis obliterans , lung transplantation
Cryptogenic organizing pneumonia is a diffuse lung disease characterized by excessive proliferation of granulomatous tissue in the small bronchi and alveoli and moderate interstitial inflammation. The diagnosis requires a multidisciplinary approach involving a pulmonologist, a radiologist and, in some cases, a mor-phologist. In most patients, cryptogenic organizing pneumonia is diagnosed on the basis of clinical symptoms, typical findings in computed tomography and cy-tology of the bronchoalveolar lavage fluid, after excluding the known causes of organizing pneumonia. Secondary confirmation of the diagnosis is a pronounced positive response to glucocorticosteroid therapy. The article presents a clinical case of a 58-year-old patient with progressive dyspnea and infiltrates in the lungs, which were initially interpreted as a manifestation of bilateral pneumonia. High-resolution computed tomography of the chest organs revealed a characteristic picture of "organizing pneumonia". Clinical and radiological changes regressed after glucocorticosteroid therapy.