Unusual association of diseases/symptoms
Bilateral pulmonary nodules in an adult patient with bronchiolitis obliterans-organising pneumonia
1 Department of Intensive Care, Edessa State Hospital, Fidiou 9 Street, Edessa, 45500, Greece
2 Medical Faculty, University of Ioannina, Department of Physiology, Clinical Unit, 13 Solomou Street, Ioannina, 45221, Greece
3 Sismanoglion Hospital, Department of Occupational Lung Diseases and Tuberculosis, 13 Solomou Street, Ioannina, 45221, Greece
4 Medical Faculty, University of Ioannina, Department of Pathology, 13 Solomou Street, Ioannina, 45221, Greece
Correspondence to:
kcharala{at}cc.uoi.gr
A 58-year-old male ex-smoker was admitted to hospital because of nodular infiltrates on chest x rays. He was complaining of fatigue, dyspnoea with exertion, low grade fever and weight loss. Physical examination was unremarkable. Bronchoscopy was inconclusive but revealed endobronchial lesions of chronic active inflammation. The diagnosis of cryptogenic organising pneumonitis bronchiolitis obliterans-organising pneumonia (COP-BOOP) was established by open lung biopsy. Proliferative bronchiolitis with regions of organising pneumonia is the characteristic feature of COP. The radiological picture of bilateral pulmonary nodules is an infrequent manifestation of COP. Lung biopsy, open or with video assistance thoracic surgery, is recommended to confirm the diagnosis.
Register for free content
The full text of all Editor's Choice articles and summaries of every article are free without registration
The full text of Images in ... articles are free to registered users
Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource
Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog
