Case report of bilateral lungs infiltrates


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Abstract

Clinical analysis of the case report 54 years woman with the diagnosis a bilateral pneumonia is performed. At the inspection included thoracoscopic biopsy, one of forms idiopathic intersticial pneumonias – Cryptogenic organizing pneumonia (COP) is revealed. In the article problems with which clinical physicians and diagnosticians meet during conducting patients with COP are discussed.

About the authors

Alexander V. Averyanov

FGUZ Clinical Hospital No. 83 FMBA of Russia

Email: averyanovav@mail.ru

deputy. Chief Physician for Research, Doctor of Medical Sciences

Russian Federation, 28, Orekhovy Boulevard, Moscow

Andrey L. Chernyaev

Federal State Institution Research Institute of Pulmonology FMBA of Russia

Email: samary@mail.ru

head Department of Morphology, Doctor of Medical Sciences, Professor

Russian Federation, 32, bldg. 4, 11th Parkovaya St., Moscow

Ludmila V. Lactionova

FGUZ Clinical Hospital No. 83 FMBA of Russia

Email: averyanovav@mail.ru

deputy. chief physician for medical work, candidate of medical sciences

Russian Federation, 28, Orekhovy Boulevard, Moscow

Nina V. Nosova

FGUZ Clinical Hospital No. 83 FMBA of Russia

Email: averyanovav@mail.ru

pulmonologist, pulmonology department

Russian Federation, 28, Orekhovy Boulevard, Moscow

Yuliya V. Kemezh

FGUZ Clinical Hospital No. 83 FMBA of Russia

Email: averyanovav@mail.ru

radiologist of the X-ray department, candidate of medical sciences

Russian Federation, 28, Orekhovy Boulevard, Moscow

Nikolay Y. Urazovsky

FGUZ Clinical Hospital No. 83 FMBA of Russia

Author for correspondence.
Email: averyanovav@mail.ru

head Department of Thoracic Surgery, Candidate of Medical Sciences

Russian Federation, 28, Orekhovy Boulevard, Moscow

References

  1. Mason R.J., Murray J.F., Broaddus V.C., Nadel J.A. Textbook of Respiratory Medicine. Fourth Edition, Elsevier inc., USA 2005. Vol. 1. P. 1299-1300.
  2. Cordier J.F. Cryptogenic organizing pneumonitis. Bronchiolitis obliterans organizing pneumonia // Clin. Chest Med. 1993. Vol. 14. P. 677-692.
  3. Epler G.R. Bronchiolitis obliterans organizing pneumonia: definition and clinical features // Chest. 1992. Vol. 102. P. 2-6.
  4. Stover D.E., Mangino D. Macrolides: a treatment alternative for bronchioltis obliterans organizing pneumonia? // Chest. 2005. Vol. 128 (5). P. 3611-3617.
  5. Cordier J.F. Cryptogenic organising pneumonia // Eur. Respir. J. 2006. Vol. 28 (2). P. 422-446.

Supplementary files

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2. Fig 1. X-ray computed tomography 08.07.10. Axial projection.

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3. Fig. 2. Granulation tissue in the lumen of the respiratory bronchiole and the alveolar duct.

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4. Fig. 3. Granulation tissue in the alveolar course in combination with a small accumulation of macrophages, deformation of the lung tissue.

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5. Fig. 4. Thickening of the wall of the small branch of the pulmonary artery due to fibroelastosis.

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6. Fig. 5. Periarteriolar lymphocytic infiltrate, small accumulations of macrophages in the alveoli.

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7. Fig 6. X-ray computed tomography 29: 07.10 Axial projection.

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8. Fig. 7. X-ray computed tomography 08.10.10 Axial projection.

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9. Fig. 8. Computed tomography of the chest with COP. Axial projection.

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Copyright (c) 2010 Averyanov A.V., Chernyaev A.L., Lactionova L.V., Nosova N.V., Kemezh Y.V., Urazovsky N.Y.

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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