Organizing Pneumonia Diagnosis With Radiograpy, Clinical, Laboratory And Response To Treatment

Yıl 2016, Cilt: 13 Sayı: 1, 32 - 37, 28.04.2016

Erhan Uğurlu , Göksel Altınışık

Öz

Background: Organizing pneumonia (OP) is a clinical condition associated with abnormal results of
pulmonary function tests, radiographic findings, and non-specific symptoms. Radiographic findings are in
the form of recurrent, migrating bilateral patchy infiltrations. OP diagnosis: depends on clinical and in
computed tomography (CT) findings in the absence of biopsy and bronchoalveoler lavage (BAL). In our
study, the question “Can organizing pneumonia diagnosis be established?“ is tried to explain with clinical,
laboratory, response to treatment, and radiological findings without biopsy.
Method:
Patients that diagnosed organizing pneumonia and started treatment are enrolled with scanning files in our
clinics. Their age, developed complaints, time of complaints existence before diagnosis, radiological findings, bronchoscopy history, pulmonary function tests (PFT), post-treatment radiological findings, and
whether or not they respond to treatment were recorded.
Results: 17 patients out of 24 were females, and 7 of them were males. Mean age was 53.9 ± 12.32. 18 (75%)
had cryptogenic organizing pneumonia, 6 (25%) had secondary organizing pneumonia. In computed
tomography (CT) findings, it was observed ground-glass in 16 (66.7%) patients, and consolidation in 14
(58.3%) patients.
Conclusion: The diagnosis of organizing pneumonia can be made with the clinical and radiological findings
and treatment can be started.

Anahtar Kelimeler

Lung, Cryptogenic Organizing Pneumonia, Radiological Findings

Klinik, Labaratuvar, Tedaviye Yanıt Ve Radyografi İle Organize Pnömoni Tanısı

Öz

Amaç: Organize pnömoni (OP)non-spesifik semptomlar, radyografik bulgular ve pulmoner fonksiyon
testlerinde anormalliklerle ilişkili kinik bir durumdur.Radyografik bulgular tekrarlayan, göç eden bilateral
yamalı infiltrasyonlar şeklindedir.OP tanısı; transbronşiyal biyopsi ve bronkoalveolar lavaj (BAL)
yapılmadığında kliniğe ve bilgisayarlı tomografi (BT) bulgularına bağlıdır. Bizde çalışmamızda biyopsi
olmadan klinik, laboratuar, tedaviye yanıt ve radyolojik bulgularla OP tanısı konulanabilir mi sorusunu
açıklamaya çalıştık.
Materyal ve Metod:Kliniğimizde dosyalar taranarak organize pnömoni tanısı konulup tedavi başlanan 24
hasta alındı.Yaşları, geliş şikâyetleri, tanıdan önce ne kadar zamandır şikâyetleri olduğu, radyolojik
bulguları, bronkoskopi geçmişleri, solunum fonksiyon testleri (SFT), tedavi sonrası radyolojik bulguları,
tedaviye cevap verip vermedikleri kayıt altına alındı.
Bulgular:24 hastanın 17' si bayan, 7 tanesi erkekdi. Yaş ortalamaları 53,9±12,32 idi. 18 (%75) ikriptojenik
organize pnömoni, 6 (%25)sısekonder organize pnömoni idi. BT bulguları olarak 16 (%66,7) hastada buzlu
cam, 14 (%58,3) hastada konsolidasyon saptanmıştır.
Sonuç:Klinik ve radyolojik bulgularla organize pnömoni tanısı konulabileceğini ve tedavi başlanabileceğini
düşünüyoruz. 

Anahtar Kelimeler

Akciğer, Kriptojenik Organize Pnömoni, Radyolojik Bulgular

Kaynakça

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