BOOP presenting with haemoptysis and multiple cavitary nodules

Froudarakis, Marios; Bouros, Demosthenes; Loire, R; Valasiadou, K.; Tsiftsis, Dimitris D.; Nm, Siafakas

doi:10.1183/09031936.95.08111972

Cited by 24 publications

(13 citation statements)

References 14 publications

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“…The presence of satellite lesions [73] Focal OP can also present as multiple mass-like opacities ( Fig. 4) [74,75,76]. This was the most frequent finding in one study in which the majority of cases were peripherally located and demonstrated a pulmonary vessel leading to a nodular opacity or a small bronchus entering the centre of the nodular opacity [77].…”

Section: Classical Cop: Clinical and Imaging Presentationmentioning

confidence: 97%

Organizing pneumonia: the many morphological faces

2001

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Organizing pneumonia is a non-specific response to various forms of lung injury and is the pathological hallmark of the distinct clinical entity termed cryptogenic organizing pneumonia. The typical imaging features of this syndrome have been widely documented and consist of patchy air-space consolidation, often subpleural, with or without ground-glass opacities. The purpose of this article is to highlight the less familiar imaging patterns of organizing pneumonia which include focal organizing pneumonia, a variety of nodular patterns, a bronchocentric distribution, band-like opacities, a perilobular pattern and a progressive fibrotic form of organizing pneumonia.

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Section: Classical Cop: Clinical and Imaging Presentationmentioning

confidence: 97%

Organizing pneumonia: the many morphological faces

2001

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“…The main clinical features include subacute onset of cough, fever, dyspnea, sparse crackles on auscultation and multifocal alveolar infiltrates on chest imaging[3,4,5,6,7,8]. Hemoptysis and multiple cavitary nodules are very rare [9]. BOOP can exhibit specific computed tomography (CT) features with regard to the crescentic or ring-shaped opacities with a central ground-glass attenuation [10].…”

Section: Introductionmentioning

confidence: 99%

Idiopathic Organizing Pneumonia: A Relapsing Disease

et al. 2007

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Background: Although organizing pneumonia (OP) is a common pathological finding, studies including a substantial number of patients with idiopathic forms from a unique center and a long follow-up are rare. Objectives: To determine patients with cryptogenic forms of organizing pneumonia (COP), in order to characterize their clinical course, to identify predictive factors for relapse and to assess their effect on outcome. Methods: For a 19-year period, all histopathological reports from a community teaching hospital were reviewed, and OP was found in 210 lung specimens belonging to 197 patients. Results: Thirty-three (17%) patients presented cryptogenic forms and 32 of them (97%) responded to steroid therapy. At follow-up, 14 patients presented no relapses (no-relapse group, NR) and 18 (56%) presented relapses (relapsing group, RG) that resolved with ulterior treatment. Multifocal opacities on chest X-ray (RG 83% vs. NR 36%, p = 0.02) appeared to be a predictor for relapse. Patients with relapses showed a shorter time span to chest X-ray normalization (RG 8 ± 8 weeks vs. NR 13 ± 9 weeks, p = 0.09) that became significant in patients with 3 or more relapses (multiple-relapse group, MR, 4 ± 2 weeks vs. NR 13 ± 9 weeks, p < 0.04). Although the initial prednisone dose was similar in patients with relapsing forms, its maintenance was shorter than in patients without relapses, showing a trend to significance (RG 4 ± 3 weeks, NR 7 ± 6 weeks, p = 0.09). Lower levels of lactate dehydrogenase and γ-glutamyltransferase, although always within the normal range, were found in patients with relapsing forms. Conclusion: COP is a specific but infrequent form of OP with a good response to steroid therapy. Relapses are frequent and typical characteristics of COP which resolved with ulterior treatment. Multifocal opacities on chest X-ray and a shorter maintenance of the initial steroid dose may increase the risk of relapse.

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“…There have been two case reports of patients presenting with multiple cavitary lung nodules [18,19]. In one case a 58-year-old female presented with a 2-month history of fever, weakness, cough and a high ESR [18].…”

Section: Discussionmentioning

confidence: 97%

Bronchiolitis obliterans organising pneumonia simulating bronchial carcinoma

et al. 1998

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Idiopathic bronchiolitis obliterans organising pneumonia (BOOP) is an uncommon but well-recognised condition that usually presents radiologically as bilateral multifocal patchy areas of consolidation on the chest radiograph and on computed tomography (CT). Five cases are described in which the presenting feature was that of a solitary pulmonary nodule. Four of these nodules showed evidence of cavitation and three patients presented with haemoptysis. In all cases the appearances closely resembled bronchial carcinoma.

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BOOP presenting with haemoptysis and multiple cavitary nodules

Cited by 24 publications

References 14 publications

Organizing pneumonia: the many morphological faces

Organizing pneumonia: the many morphological faces

Idiopathic Organizing Pneumonia: A Relapsing Disease

Bronchiolitis obliterans organising pneumonia simulating bronchial carcinoma

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