A Case Report of Steroid-Resistant Cryptogenic Organizing Pneumonia Managed with Intravenous Immunoglobulins

Fewer than ten reported cases of cryptogenic organizing pneumonia (COP) have been managed with intravenous immunoglobulins (IVIg). We report a case of a 72-year-old man who presented with a worsening cough and diffuse opacities on chest radiograph. Following no improvement with antibiotics and negat...

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Autores principales:	Christian Akem Dimala, Urvi Patel, Benjamin Lloyd, Anthony Donato, William B. Kimmel, Robert Hallowell, Caitlyn Moss
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Diseases of the respiratory system RC705-779
Acceso en línea:	https://doaj.org/article/ee860cf8282441e0b9a4f5f12d840047
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spelling	oai:doaj.org-article:ee860cf8282441e0b9a4f5f12d8400472021-11-29T00:56:31ZA Case Report of Steroid-Resistant Cryptogenic Organizing Pneumonia Managed with Intravenous Immunoglobulins2090-685410.1155/2021/9343491https://doaj.org/article/ee860cf8282441e0b9a4f5f12d8400472021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/9343491https://doaj.org/toc/2090-6854Fewer than ten reported cases of cryptogenic organizing pneumonia (COP) have been managed with intravenous immunoglobulins (IVIg). We report a case of a 72-year-old man who presented with a worsening cough and diffuse opacities on chest radiograph. Following no improvement with antibiotics and negative complementary investigations for infectious, malignant, and autoimmune etiologies, COP was confirmed on lung biopsy. Due to continued clinical deterioration despite high-dose steroids and new severe steroid-induced hallucinations, the patient was placed on intravenous immunoglobulins (IVIg) and mycophenolate mofetil and made a satisfactory recovery. IVIg should be considered as an important steroid-sparing alternative in patients with COP.Christian Akem DimalaUrvi PatelBenjamin LloydAnthony DonatoWilliam B. KimmelRobert HallowellCaitlyn MossHindawi LimitedarticleDiseases of the respiratory systemRC705-779ENCase Reports in Pulmonology, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the respiratory system RC705-779
spellingShingle	Diseases of the respiratory system RC705-779 Christian Akem Dimala Urvi Patel Benjamin Lloyd Anthony Donato William B. Kimmel Robert Hallowell Caitlyn Moss A Case Report of Steroid-Resistant Cryptogenic Organizing Pneumonia Managed with Intravenous Immunoglobulins
description	Fewer than ten reported cases of cryptogenic organizing pneumonia (COP) have been managed with intravenous immunoglobulins (IVIg). We report a case of a 72-year-old man who presented with a worsening cough and diffuse opacities on chest radiograph. Following no improvement with antibiotics and negative complementary investigations for infectious, malignant, and autoimmune etiologies, COP was confirmed on lung biopsy. Due to continued clinical deterioration despite high-dose steroids and new severe steroid-induced hallucinations, the patient was placed on intravenous immunoglobulins (IVIg) and mycophenolate mofetil and made a satisfactory recovery. IVIg should be considered as an important steroid-sparing alternative in patients with COP.
format	article
author	Christian Akem Dimala Urvi Patel Benjamin Lloyd Anthony Donato William B. Kimmel Robert Hallowell Caitlyn Moss
author_facet	Christian Akem Dimala Urvi Patel Benjamin Lloyd Anthony Donato William B. Kimmel Robert Hallowell Caitlyn Moss
author_sort	Christian Akem Dimala
title	A Case Report of Steroid-Resistant Cryptogenic Organizing Pneumonia Managed with Intravenous Immunoglobulins
title_short	A Case Report of Steroid-Resistant Cryptogenic Organizing Pneumonia Managed with Intravenous Immunoglobulins
title_full	A Case Report of Steroid-Resistant Cryptogenic Organizing Pneumonia Managed with Intravenous Immunoglobulins
title_fullStr	A Case Report of Steroid-Resistant Cryptogenic Organizing Pneumonia Managed with Intravenous Immunoglobulins
title_full_unstemmed	A Case Report of Steroid-Resistant Cryptogenic Organizing Pneumonia Managed with Intravenous Immunoglobulins
title_sort	case report of steroid-resistant cryptogenic organizing pneumonia managed with intravenous immunoglobulins
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/ee860cf8282441e0b9a4f5f12d840047
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A Case Report of Steroid-Resistant Cryptogenic Organizing Pneumonia Managed with Intravenous Immunoglobulins

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