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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
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.
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页码:1185 / 1191
页数:7
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