Idiopathic bronchiolitis obliterans organising: Pneumonia: The first case that was diagnosed in our hospital

Abstract

We report the case of a woman who presented with progressive dyspnea, nonproductive cough and constitutional symptoms including weight loss, anorexia and malaise for six months. Physical examination revealed end-inspiratory crackles over both lungs. Chest-x-ray (CXR) and thorax computerised tomography (CT) revealed bilateral multiple alveolar opacities with air bronchograms. With transbronchoscopic lung biopsy, bronchiolitis obliterans organising pneumonia (BOOP) was the pathologic diagnosis. We could not find any underlying condition, that can cause BOOP, so classified as idiopathic. The patient rapidly responded to, both clinically and radiologically, steroid treatment within one month. This is the first case of idiopathic BOOP that was diagnosed in our hospital, and was considered worth reporting.