Öz
Acute fibrinous and organizing pneumonia (AFOP), first described histologically by Beasley et al.1 in 2002. AFOP occurs in a wide age range (38-78 age) and in a non-sexist spectrum of patients. Although idiopathic cases have been reported, case series in which the underlying etiology is known. The histologically specific pattern is the presence of organized intra-alveolar fibrin and is the essential parameter for diagnosis. There is no significant difference in the radiological pattern except for the
halo finding in the comparison of AFOP and COP. In patients presenting with an acute and more fulminant picture, the clinic presents with rapidly worsening respiratory failure. The main complaints were fever, cough and chest pain respectively. Since AFOP is a diagnosis of exclusion, most patients are diagnosed with pneumonia that does not respond to treatment or has delayed resolution during follow up. Although the clinical presentations of the fulminant and subacute forms of AFOP are different, a clear distinction cannot be made for treatment due to the high mortality of the fulminant form. The prognosis is poor in acute fulminant cases.
Anahtar Kelimeler
Organized pneumonia interstitial lung disease acute acute fibrinous
Kaynakça
- 1. Beasley MB, Franks TJ, Galvin JR, Gochuico B, Travis WD. Acute fibrinous and organizing pneumonia a histologic pattern of lung injury and possible variant of diffuse alveolar damage. Arch Pathol Laborat Med. 2002;126(9):1064-1070.
- 2. Raghu G, Remy-Jardin M, Richeldi L, et al. Idiopathic pulmonary fibrosis (an update) and progressive pulmonary fibrosis in adults: an official ATS/ERS/JRS/ALAT clinical practice guideline. Am J Respir Crit Care Med. 2022;205(9):e18-e47.
- 3. Wang Y, Li Y, Wang Q, et al. Acute fibrinous and organizing pneumonia; a case report. Medicine. 2019;98(8):e14537.
- 4. Onishi Y, Kawamura T, Higashino T, Mimura R, Tsukamoto H, Sasaki S. Clinical features of acute fibrinous and organizing pneumonia: an early histologic pattern of various acute inflammatory lung diseases. PLoS One. 2021;16(4):e0249300.
- 5. Gomes R, Padrão E, Dabó H, et al. Acute fibrinous and organizing pneumonia: a report of 13 cases in a tertiary university hospital. Medicine. 2016;95(27):e4073.
- 6. Simmons GL, Chung HM, McCarty JM, et al. Treatment of acute fibrinous organizing pneumonia following hematopoietic cell transplantation with etanercept. Bone Marrow Transplant. 2017;52(1):141-143.
- 7. Kumar S, Mishra M, Goyal K, Bhatt R, Joshi P, Bansal S. Acute fibrinous organizing pneumonia: a rare lung pathology. Monaldi Arch Chest Dis. 2019;89(2):1016.
- 8. Ford D, Charoenpong P, Boparai S. Acute fibrinous organizing pneumonia: a new association. Chest. 2021;160(4):A1654.
- 9. Kuza C, Matheos T, Kathman D, Heard SO. Life after acute fibrinous and organizing pneumonia: a case report of a patient 30 months after diagnosis and review of the literature. J Crit Care. 2016;31(1):255-261.
- 10. Damas C, Morais A, Moura CS, Marques JA. Acute fibrinous and organizing pneumonia. Pulmonol. 2006;12(5):615-620.
- 11. Lu J, Yin Q, Zha Y, et al. Acute fibrinous and organizing pneumonia: two case reports and literature review. BMC Pulm Med. 2019;19(1):141.
- 12. Onishi Y, Kawamura T, Nakahara Y, et al. Factors associated with the relapse of cryptogenic and secondary organizing pneumonia. Respir Investig 2017;55(1):10-15.
- 13. Sauter JL, Butnor KJ. Expanding the spectrum of pulmonary histopathological manifestations of antisynthetase syndrome: anti-EJ-associated acute fibrinous and organizing pneumonia. Histopathol. 2014;65(4):581-582.
- 14. Ning YJ, Ding PS, Ke ZY, Zhang YB, Liu RY. Successful steroid treatment for acute fibrinous and organizing pneumonia: a case report. World J Clin Cases. 2018;6(15):1053-1058.
Öz
Akut fibrinöz ve organize pnömoni (AFOP), ilk kez histolojik olarak Beasley ve ark. tarafından tanımlanmıştır. AFOP geniş bir yaş aralığında (38-78 yaş) ve cinsiyetçi olmayan bir hasta yelpazesinde ortaya çıkmaktadır. İdiyopatik olgular bildirilse de altta yatan etiyolojinin bilindiği olgu serileri de mevcuttur. Histolojik olarak spesifik patern, organize intraalveoler fibrinin varlığıdır ve tanı için temel parametredir. AFOP ve COP karşılaştırıldığında halo bulgusu dışında radyolojik paternde anlamlı bir fark yoktur. Akut ve daha fulminan bir tabloyla başvuran hastalarda klinik hızla kötüleşen solunum yetmezliği ile karşımıza çıkmaktadır. Başlıca şikayetler sırasıyla ateş, öksürük ve göğüs ağrısıydı. AFOP bir dışlama tanısı olduğu için çoğu hastaya tedaviye yanıt vermeyen veya takip sırasında iyileşmesi geciken pnömoni tanısı konur. AFOP'un fulminan ve subakut formlarının klinik tabloları farklı olsa da fulminan formun mortalitesinin yüksek olması nedeniyle tedavide net bir ayrım yapılamamaktadır. Akut fulminan vakalarda prognoz kötüdür.
Anahtar Kelimeler
Organize pnömoni interstisyel akciğer hastalığı akut fibrinozis
Kaynakça
- 1. Beasley MB, Franks TJ, Galvin JR, Gochuico B, Travis WD. Acute fibrinous and organizing pneumonia a histologic pattern of lung injury and possible variant of diffuse alveolar damage. Arch Pathol Laborat Med. 2002;126(9):1064-1070.
- 2. Raghu G, Remy-Jardin M, Richeldi L, et al. Idiopathic pulmonary fibrosis (an update) and progressive pulmonary fibrosis in adults: an official ATS/ERS/JRS/ALAT clinical practice guideline. Am J Respir Crit Care Med. 2022;205(9):e18-e47.
- 3. Wang Y, Li Y, Wang Q, et al. Acute fibrinous and organizing pneumonia; a case report. Medicine. 2019;98(8):e14537.
- 4. Onishi Y, Kawamura T, Higashino T, Mimura R, Tsukamoto H, Sasaki S. Clinical features of acute fibrinous and organizing pneumonia: an early histologic pattern of various acute inflammatory lung diseases. PLoS One. 2021;16(4):e0249300.
- 5. Gomes R, Padrão E, Dabó H, et al. Acute fibrinous and organizing pneumonia: a report of 13 cases in a tertiary university hospital. Medicine. 2016;95(27):e4073.
- 6. Simmons GL, Chung HM, McCarty JM, et al. Treatment of acute fibrinous organizing pneumonia following hematopoietic cell transplantation with etanercept. Bone Marrow Transplant. 2017;52(1):141-143.
- 7. Kumar S, Mishra M, Goyal K, Bhatt R, Joshi P, Bansal S. Acute fibrinous organizing pneumonia: a rare lung pathology. Monaldi Arch Chest Dis. 2019;89(2):1016.
- 8. Ford D, Charoenpong P, Boparai S. Acute fibrinous organizing pneumonia: a new association. Chest. 2021;160(4):A1654.
- 9. Kuza C, Matheos T, Kathman D, Heard SO. Life after acute fibrinous and organizing pneumonia: a case report of a patient 30 months after diagnosis and review of the literature. J Crit Care. 2016;31(1):255-261.
- 10. Damas C, Morais A, Moura CS, Marques JA. Acute fibrinous and organizing pneumonia. Pulmonol. 2006;12(5):615-620.
- 11. Lu J, Yin Q, Zha Y, et al. Acute fibrinous and organizing pneumonia: two case reports and literature review. BMC Pulm Med. 2019;19(1):141.
- 12. Onishi Y, Kawamura T, Nakahara Y, et al. Factors associated with the relapse of cryptogenic and secondary organizing pneumonia. Respir Investig 2017;55(1):10-15.
- 13. Sauter JL, Butnor KJ. Expanding the spectrum of pulmonary histopathological manifestations of antisynthetase syndrome: anti-EJ-associated acute fibrinous and organizing pneumonia. Histopathol. 2014;65(4):581-582.
- 14. Ning YJ, Ding PS, Ke ZY, Zhang YB, Liu RY. Successful steroid treatment for acute fibrinous and organizing pneumonia: a case report. World J Clin Cases. 2018;6(15):1053-1058.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Göğüs Hastalıkları |
| Bölüm | Review [en] Derleme [tr] |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Nisan 2024 |
| Gönderilme Tarihi | 27 Mart 2024 |
| Kabul Tarihi | 25 Nisan 2024 |
| Yayımlandığı Sayı | Yıl 2024 Cilt: 5 Sayı: 2 |
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