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Updated: Jun 10, 2026

Experimental Model to Evaluate Resolution of Pneumonia
Published on: February 17, 2023
[Acute fibrinous and organizing pneumonia]
Cláudia Santos1, Fátima Fradinho, Alexandra Catarino
1Serviço de Pneumologia dos Hospitais da Universidade de Coimbra. claudiaraimundo80@gmail.com
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.
Insights
Acute Fibrinous and Organizing Pneumonia (AFOP) is a distinct interstitial lung disease. This review clarifies its unique features and differentiates it from other acute lung injury patterns.
Area of Science:
- Pulmonary Medicine
- Histopathology
- Interstitial Lung Diseases
Background:
- Acute Fibrinous and Organizing Pneumonia (AFOP) is a distinct histologic pattern of acute lung injury.
- It was first described by Beasley in 2002 and is characterized by intra-alveolar fibrin and organizing pneumonia.
- AFOP presents with acute or subacute symptoms, distinguishing it from other acute pulmonary lesions.
Observation:
- This review synthesizes current literature on AFOP.
- A specific clinical case of a 44-year-old patient with AFOP is presented.
- The case highlights unusual imaging features and clinical outcomes associated with AFOP.
Findings:
- AFOP is histologically defined by intra-alveolar fibrin "balls" and diffuse organizing pneumonia.
- It differs from Diffuse Alveolar Damage (DAD), Organizing Pneumonia (OP), and Eosinophilic Pneumonia (EP).
- The presented case demonstrates atypical radiological findings and a unique patient outcome.
Implications:
- Understanding AFOP's distinct characteristics is crucial for accurate diagnosis and patient management.
- Differentiating AFOP from other acute lung injuries impacts treatment strategies.
- Further research into AFOP's pathogenesis and clinical course is warranted.
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