Abstract
TYPE: Abstract Publication TOPIC: Diffuse Lung Disease PURPOSE: I intend to present an interesting case of Cryptogenic Organizing Pneumonia (COP) from India. METHODS: A 50 year old female patient presented with complaints of dry cough, dyspnea on exertion and fatigue. She had no remarkable past history or family history for comorbidities. She had a history of farming and exposure to pesticides. Chest Radiograph revealed asymmetric diffuse opacities bilaterally which was corroborated on CT Chest. Blood examination was unremarkable. Bronchoalveolar lavage was indisctinct on cytology except raised lymphocyte count with no yield on microbiological examination. Patient refused options of lung biopsy. Patient was diagnosed to be suffering from Crytogenic Organsing Pneumonia based on HRCT Chest and clinical findings. Patient was put on Prednisolone regimen as well as symptomatic management. Patient responded promptly to the treatment and steroid regimen was continued for 6 weeks. After a spell of recovery on steroid regimen, repeat HRCT showed resolution of opacitites. RESULTS: Patient again developed similar complaints in 4 weeks and chest radiograph revealed opacities similar to the previous radiograph but the symptomatology was not as severe as the last episode. Patient was continued on steoid regimen and improved. CONCLUSIONS: The search for etiology is very crtiical as well as necessary to modify the treatment outcome. Incidence and prevalance of Crytogenic Organsing Pneumonia in on the rise in developing countries like India, which are struggling with high burden of lung infections. CLINICAL IMPLICATIONS: Epidemiological assessment of causative factors need to be carried out in developing countires to better understand Crytogenic Organsing Pneumonia and effectively manage its outcome. DISCLOSURE: No significant relationships. KEYWORDS: Cryptogenic Organising Pneumonia, Diffuse lung disease, Prednisolone
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