Pneumopathie organisee cryptogenique.

Détails

ID Serval
serval:BIB_2D4DD65644A7
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Pneumopathie organisee cryptogenique.
Périodique
Revue de Pneumologie Clinique
Auteur⸱e⸱s
Lazor  R.
ISSN
0761-8417
Statut éditorial
Publié
Date de publication
06/2005
Peer-reviewed
Oui
Volume
61
Numéro
3
Pages
193-202
Notes
English Abstract
Journal Article
Review
Résumé
Organising Pneumonia (formerly called Bronchiolitis Obliterans with Organising Pneumonia) is a particular form of inflammatory and fibroproliferative lung disease. Its idiopathic form called Cryptogenic Organising Pneumonia, was recently defined by an ATS/ERS consensus conference. The disease onset is subacute with cough, dyspnea, fever, asthenia, weight loss, crackles, and elevation of biological inflammatory markers. Bronchoalveolar lavage reveals a mixed alveolitis with elevated lymphocyte, neutrophil, and eosinophil counts. Chest imaging usually shows multifocal alveolar opacities predominating in the subpleural regions, often with a migratory pattern. Lung biopsy reveals budding connective tissue filling the distal airspaces. Diagnosis is established by combining clinical, radiological and histological criteria. Similarities with other disease processes can lead to delayed or erroneous diagnosis. Most patients respond well to corticosteroid therapy. Relapses are frequent but can generally be controlled with moderate doses of prednisone and do not worsen the prognosis. The therapeutic strategy aims at reducing the steroid doses while maintaining an optimal disease control.
Mots-clé
Biopsy Bronchiolitis Obliterans Organizing Pneumonia/*diagnosis/drug therapy/pathology/radiography Bronchoalveolar Lavage Fluid Diagnosis, Differential Glucocorticoids/therapeutic use Humans Prognosis Pulmonary Alveoli/*pathology
Pubmed
Création de la notice
19/12/2008 12:58
Dernière modification de la notice
20/08/2019 14:12
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