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Collagen vascular disease in the lungs

Collagen vascular disease in the lungs

Collagen vascular disease in the lungs

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Lung Biopsy<br />

Seldom needed<br />

HRCT predictive of pathology & prognosis<br />

May do if atypical or suspect OP:<br />

Plugs of loose proliferat<strong>in</strong>g granulation<br />

tissue (“Masson bodies”) with<strong>in</strong> lumen of<br />

bronchioles (“bronchiolitis obliterans”) &<br />

extend<strong>in</strong>g <strong>in</strong>to alveolar ducts & spaces<br />

(“organis<strong>in</strong>g pneumonia”)<br />

Patchy distribution (often peribronchial)<br />

Normal lung architecture<br />

Antoniou et al. ERJ 2009; 33: 882-96

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