Table 2 Pathologic features of nonfibrotic HP.
From: Hypersensitivity pneumonitis: new concepts and classifications
In most cases distinctly bronchiolocentric mild chronic interstitial inflammation with normal parenchyma away from bronchioles | |
Minority of cases show a cellular NSIP pattern | |
For either pattern: | |
Lymphocytes > plasma cells | |
Lymphoid aggregates few to nonexistent | |
Germinal centers rare to nonexistent | |
Granulomas/giant cells in the majority of cases | |
Granulomas/giant cells usually interstitial but can be found in airspaces near bronchioles | |
Schaumann bodies sometimes present and are equivalent to granulomas/giant cells |