Abstract
Cryptogenic Organising Pneumonia is a rare lung condition, which has incidence of 6-9 cases per 1,000,000 people with onset at age group between 50-60. The pathogenesis of this condition remains unknown. It mimics like pneumonia but has a good outcome with steroid treatment. Early recognition is very important and treatment with steroid therapy can save lives. This case highlights the unusual cause of shortness of breath due to COP and co existing incidental severe AS where we faced a diagnostic dilemma till lung biopsy was performed.
Highlights
Cryptogenic Organising Pneumonia (COP) is a rare lung condition, first described by Dr Gary Epler in 1985.1 The incidence is 6-9 cases per 1000,000 people with onset at age group between 50-60.2 It is an idiopathic form of organising pneumonia previously known as idiopathic bronchiolitis obliterans organising pneumonia or BOOP.[3]
Recognition is very important and treatment with steroid therapy can save lives. This case highlights the unusual cause of shortness of breath due to COP and co existing incidental severe AS where we faced a diagnostic dilemma till lung biopsy was performed
Lung biopsy was vital at this point which confirmed the diagnosis of cryptogenic organising pneumonia (Figure 5)
Summary
Cryptogenic Organising Pneumonia (COP) is a rare lung condition, first described by Dr Gary Epler in 1985.1 The incidence is 6-9 cases per 1000,000 people with onset at age group between 50-60.2 It is an idiopathic form of organising pneumonia previously known as idiopathic bronchiolitis obliterans organising pneumonia or BOOP.[3]. This case highlights the unusual cause of shortness of breath due to COP and co existing incidental severe AS where we faced a diagnostic dilemma till lung biopsy was performed. Chest x ray suggested right mid zone consolidation (Figure 1).
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