Clinical spectrum of cryptogenic organising pneumonitis

R. Bellomo, M. Finlay, P. McLaughlin, E. Tai

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47 Citations (Scopus)

Abstract

Cryptogenic organising pneumonitis (bronchiolitis obliterans organising pneumonia) is an uncommon condition that often responds to steroids. It is characterised clinically by constitutional symptoms, pathologically by intraalveolar organising fibrosis, and radiologically by patchy pulmonary infiltrates. Its full clinical spectrum and course are only partially described and understood. Six patients are described, seen over three years, with considerably diverse clinical and radiological presentations (two had diffuse lung infiltrates, two had peripheral lung infiltrates, and two had localised lobar involvement) and with very varying severity of disease (two with a life threatening illness, three with appreciable subacute constitutional symptoms, and one with mild symptoms). It is concluded that cryptogenic organising pneumonitis can ptesent in various ways. A set of diagnostic criteria are proposed which will help in the recognition of this syndrome, which is probably underdiagnosed.

Original languageEnglish
Pages (from-to)554-558
Number of pages5
JournalThorax
Volume46
Issue number8
DOIs
Publication statusPublished - 1 Jan 1991
Externally publishedYes

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