CASO 5-2015: Cryptogenic organizing pneumonia

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2015-04-01 00:00:00

Autores

Sibaja Campos, Mario
Monge Bonilla, Cecilia

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Resumen

Cryptogenic organizing pneumonia (COP) is a distinct histopathologic entity characterized byMasson bodies which are intraalveolar buds of granulation tissue; consisting of connective tissue and myofibroblasts. This pathologic pattern when present with the characteristic imaging and clinical features of COP defines the diagnosis of the disease. A specific etiology is not found. Treatment with corticosteroids results in a rapid clinical and imaging improvement but unfortunately relapses are common upon decreasing the dose or stopping the treatment. This case report describes a typical case of COP with the characteristic improvement with corticosteroid therapy and relapse upon treatment taper
Cryptogenic organizing pneumonia (COP) is a distinct histopathologic entity characterized by Masson bodies which are intraalveolar buds of granulation tissue; consisting of connective tissue and myofibroblasts. This pathologic pattern when present with the characteristic imaging and clinical features of COP defines the diagnosis of the disease. A specific etiology is not found. Treatment with corticosteroids results in a rapid clinical and imaging improvement but unfortunately relapses are common upon decreasing the dose or stopping the treatment. This case report describes a typical case of COP with the characteristic improvement with corticosteroid therapy and relapse upon treatment taperKEY

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Palabras clave

Cryptogenic organizing pneumonia, intraalveolar fibrosis, butterfly pattern, bronchiolitis obliterans organizing pneumonia, alveolar wall, Masson bodies

Citación

http://revistas.ucr.ac.cr/index.php/clinica/article/view/18869