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CASE REPORT
Organising pneumonia in common variable immunodeficiency
  1. Ziad Boujaoude1,
  2. Rohan Arya1,
  3. William Rafferty2,
  4. Pedro Dammert1
  1. 1Department of Pulmonary and Critical Care Medicine, Cooper University Hospital, Camden, New Jersey, USA
  2. 2Department of Pathology, Cooper University Hospital, Camden, New Jersey, USA
  1. Correspondence to Dr Ziad Boujaoude, boujaoude-ziad{at}cooperhealth.edu

Summary

Common variable immunodeficiency (CVID) is the most common of the primary immunodeficiency disorders. Pulmonary manifestations are characterised by recurrent rhinosinusitis, respiratory tract infections and bronchiectasis. Less commonly the lung may be affected by lymphoid disorders and sarcoid-like granulomas. Organising pneumonia (OP) is a rare pulmonary manifestation. We report the case of a 32-year-old woman with CVID who presented with fever, dyspnoea and persistent lung infiltrates despite antibiotic therapy. CT of the chest showed bilateral patchy alveolar infiltrates. Pulmonary function tests revealed moderate restriction and reduction in diffusion capacity. Initial bronchoscopy with transbronchial biopsies did not yield a diagnosis but surgical lung biopsies identified OP. Significant clinical, radiographic and physiological improvement was achieved after institution of corticosteroid therapy.

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