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Updated: Dec 24, 2025

Experimental Model to Evaluate Resolution of Pneumonia
Published on: February 17, 2023
[Acute fibrinous and organizing pneumonia]
Cláudia Santos1, Fátima Fradinho2, Alexandra Catarino2
1Interna Complementar de Pneumologia.
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 and case study highlight its unique features compared to other acute lung injuries.
Area of Science:
- Pulmonary Pathology
- Histopathology
- Interstitial Lung Diseases
Context:
- Acute Fibrinous and Organizing Pneumonia (AFOP) is a distinct histologic pattern.
- It presents with intra-alveolar fibrin and diffuse organizing pneumonia.
- AFOP requires differentiation from other acute lung injury patterns like DAD, OP, and EP.
Purpose:
- To review the literature on AFOP.
- To describe a clinical case with unusual imaging and outcome.
- To enhance understanding of this interstitial pulmonary disease.
Summary:
- AFOP is characterized by fibrin "balls" and diffuse organizing pneumonia.
- Symptoms can be acute or subacute.
- This condition is histologically distinct from Diffuse Alveolar Damage (DAD), Organizing Pneumonia (OP), and Eosinophilic Pneumonia (EP).
Impact:
- Improves diagnostic criteria for AFOP.
- Highlights the importance of distinguishing AFOP from other acute lung conditions.
- Provides insights into the clinical presentation and management of AFOP.
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