Case Report

Volume: 2 | Issue: 2 | Published: Jan 01, 1970 | Pages: 50 - 54 | DOI: 10.24911/ejmcr/2/19

Acute Fibrinous and Organizing Pneumonia associated to hematological malignancy: a case report


Authors: Filipa Ferreira Pereira , Mario Santos , Margarida Freitas Silva


Article Info

Authors

Filipa Ferreira Pereira

Medical Oncology Department, Instituto Portugues de Oncologia do Porto, Portugal, Department of Internal Medicine, Centro Hospitalar de Sao Joao E.P.E., Porto, Portugal

Mario Santos

Department of Internal Medicine, Centro Hospitalar de Sao Joao E.P.E., Porto, Portugal, Department of Internal Medicine, Centro Hospitalar de Sao Joao E.P.E., Porto, Portugal

Margarida Freitas Silva

Department of Internal Medicine, Centro Hospitalar de Sao Joao E.P.E., Porto, Portugal

Publication History

Received: March 24, 2018

Revised: April 29, 2018

Accepted: May 02, 2018

Published: January 01, 1970


Abstract


The acute fibrinoid and organizing pneumonia (AFOP) is an histophatological pattern featured for the presence of intra-alveolar fibrin and organizing pneumonia (1). AFOP is an entity that can be either idiopathic or associated with several clinical conditions, including infectious diseases, drug interactions and cancer. No specific treatment exists for AFOP but an excellent response to steroids therapy is observed. AFOP is still a not well understood entity and is defined with a distinct histological pattern that can appear adjacent to other entities, including hematologic malignancies. A 55-year-old man was admitted in hospital with pneumonia diagnosis, that had no response to antibiotics, but an excellent response to steroids. The lung biopsy supported the diagnosis of AFOP.

Keywords: Organizing pneumonia, fibrin, hematological malignancy, glucocorticoids