RESUMO
We present four cases of patients admitted to an acute geriatric unit with a presumptive diagnosis of bronchiolitis obliterans organizing pneumonia between 2001 and 2005. Because of the difficulty of performing transbronchial biopsy in these patients, who showed a variety of clinical presentations, the suspected diagnosis was based on clinical and radiological findings and a favorable response to empirical corticosteroid treatment. The clinical and radiological features of this entity in the elderly, as well as the therapeutic options, are reviewed.
Assuntos
Corticosteroides/uso terapêutico , Pneumonia em Organização Criptogênica/tratamento farmacológico , Idoso , Idoso de 80 Anos ou mais , Pneumonia em Organização Criptogênica/diagnóstico , Feminino , Humanos , MasculinoRESUMO
Se presentan 4 casos de pacientes ingresados entre 2001 y 2005 en una unidad geriátrica de agudos hospitalaria con diagnóstico de presunción de bronquiolitis obliterante con neumonía organizada (BONO). En esos pacientes, ante la dificultad de la realización de la biopsia transbronquial, con diversidad de presentación clínica, se realizó el diagnóstico de sospecha de BONO sobre la base de los hallazgos clínicos, radiológicos y la respuesta favorable a tratamiento empírico con corticoides. Se realiza una revisión clínica, radiológica y terapéutica de esa afección en el anciano
We present four cases of patients admitted to an acute geriatric unit with a presumptive diagnosis of bronchiolitis obliterans organizing pneumonia between 2001 and 2005. Because of the difficultyof performing transbronchial biopsy in these patients, who showed a variety of clinical presentations, the suspected diagnosis was based on clinical and radiological findings and a favorable response to empirical corticosteroid treatment. The clinicaland radiological features of this entity in the elderly, as well as the therapeutic options, are reviewed
