A Cryptogenic Case of Fulminant Fibrosing Organizing Pneumonia

被引：7

作者：

Kobayashi, Takehiko ^{[1
]}

Kitaichi, Masanori ^{[2
,3
,4
]}

Tachibana, Kazunobu ^{[1
,2
]}

Kishimoto, Yutaro ^{[1
,5
]}

Inoue, Yasushi ^{[1
]}

Kagawa, Tomoko ^{[1
,2
]}

Maekura, Toshiya ^{[1
]}

Sugimoto, Chikatoshi ^{[2
]}

Arai, Toru ^{[2
]}

Akira, Masanori ^{[2
,6
]}

Inoue, Yoshikazu ^{[2
]}

机构：

[1] Natl Hosp Org, Kinki Chuo Chest Med, Dept Internal Med, Sakai, Osaka, Japan

[2] Natl Hosp Org, Kinki Chuo Chest Med, Clin Res Ctr, Sakai, Osaka, Japan

[3] Natl Hosp Org, Kinki Chuo Chest Med, Dept Pathol, Sakai, Osaka, Japan

[4] Natl Hosp Org, Minami Wakayama Med Ctr, Dept Pathol, Wakayama, Japan

[5] Iwata City Hosp, Dept Resp Med, Iwata, Shizuoka, Japan

[6] Natl Hosp Org, Kinki Chuo Chest Med Ctr, Dept Radiol, Sakai, Osaka, Japan

来源：

INTERNAL MEDICINE | 2017年 / 56卷 / 10期

关键词：

cryptogenic organizing pneumonia (COP); fibrosing organizing pneumonia (FOP); rapidly progressive bronchiolitis obliterans organizing pneumonia; bronchoscopy; PROGRESSIVE BRONCHIOLITIS OBLITERANS; TRANSBRONCHIAL LUNG-BIOPSY; CLASSIFICATION; CYCLOSPORINE; DISEASE; BOOP;

D O I：

10.2169/internalmedicine.56.7371

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Cryptogenic organizing pneumonia (COP) generally responds well to corticosteroids with a favorable outcome. Rare cases of organizing pneumonia are rapidly progressive. Yousem et al. studied pathologic predictors of idiopathic bronchiolitis obliterans organizing pneumonia/COP with an unfavorable prognosis. Beardsley and Rassl proposed the name fibrosing organizing pneumonia (FOP). A 74-year-old female non-smoker presented with a 2-week history of dry cough followed by dyspnea and a fever. The clinical course was fulminant, but we successfully performed bronchoscopy. After the diagnosis of FOP, we treated the patient with mechanical ventilation and high-doses of steroids/immunosuppressants, which improved the disease.

引用

页码：1185 / 1191

页数：7

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