20th February 2025

A 45-year-old patient is referred to the respiratory clinic by her GP due to ongoing breathlessness and cough over the previous 3 months.

A 45-year-old patient is referred to the respiratory clinic by her GP due to ongoing breathlessness and cough over the previous 3 months. She has received several courses of antibiotics for suspected chest infections, but symptoms have continued. She has got no documented allergies.

On examination, bibasal crackles are noted. There is no clubbing. HRCT revealed basal, subpleural and peribronchial areas of consolidation with air bronchograms.

You suspect cryptogenic organising pneumonia. What is the most appropriate treatment to initiate in this case?

Select the SINGLE most appropriate option from the list below. Select ONE option only.