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Vol. 16. Issue 4.
Pages 607-616 (July - August 2010)
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Vol. 16. Issue 4.
Pages 607-616 (July - August 2010)
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Pneumonia aguda fibrinosa e organizante
Acute fibrinous and organizing pneumonia
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Cláudia Santos1, Fátima Fradinho2, Alexandra Catarino2, Mário Chaves Loureiro3
1 Interna Complementar de Pneumologia
2 Assistente Hospitalar de Pneumologia
3 Serviço de Pneumologia dos Hospitais da Universidade de Coimbra, Praceta Prof. Mota Pinto, 3000-075 Coimbra
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Resumo

O padrão histológico de Pneumonia Aguda Fibrinosa e Organizante (AFOP – Acute Fibrinous And Organizing Pneumonia), descrito por Beasley em 2002, caracteriza-se pela existência de fibrina intra-alveolar sob a forma de bolas de fibrina e pneumonia organizativa difusa. A apresentação clínica desta doença intersticial pulmonar pode ser aguda ou subaguda, diferindo no entanto dos outros padrões histológicos habitualmente associados a lesão pulmonar aguda – Lesão Alveolar Difusa (DAD), Pneumonia Organizativa (OP) e Pneumonia Eosinofílica (EP).

A propósito deste tema, os autores fazem uma revisão da literatura e descrevem o caso clínico de um doente de 44 anos, com aspectos imagiológicos e evolução pouco habituais.

Palavras-chave:
AFOP
bolas de fibrina
pneumonia organizativa
Abstract

The histologic pattern of Acute Fibrinous and Organizing Pneumonia (AFOP), described by Beasley in 2002, is characterized by the existence of intra alveolar fibrin in the form of fibrin “balls” and diffuse organizing pneumonia. Presenting symptoms of this interstitial pulmonary disease can be acute or subacute. However, it differs from the well-recognized histologic patterns of acute pulmonary lesion – Diffuse Alveolar Damage (DAD), Organizing Pneumonia (OP) and Eosinophilic Pneumonia (EP).

The authors carry out a review of the literature concerning this topic and describe the clinical case of a 44-year-old patient with unusual imaging features and outcome.

Key-word:
AFOP
fibrin balls
organizing pneumonia
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Bibliografia
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Copyright © 2010. Sociedade Portuguesa de Pneumologia
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