A series is here reported of eleven patients with the histological dia
gnosis of bronchiolitis obliterans with organized pneumonia (BOOP) and
the clinical course after one year of corticosteroid therapy. Four pa
tients had idiopathic BOOF, one patient ROOF secondary to bone marrow
transplantation and the other six patients had BOOF secondary to inhal
ation of toxic substances (Ardystil syndrome). The most common radiolo
gical feature at the onset of the disease was the presence of bilatera
l patchy infiltrates; the most common functional finding was a decreas
ed diffusion capacity for carbon monoxide. After one year of follow-up
, seven out of the ten patients still alive had a normal radiology and
all showed a significat improvement in ventilatory and gasometric par
ameters.