Bronchiolitis obliterans organizing pneumonia presenting as hemoptysis in a patient of Hodgkin's lymphoma undergoing chemotherapy

Bronchiolitis obliterans organizing pneumonia (BOOP) is an uncommon pulmonary disorder characterized by plugs of granulation tissue polyps in the lumina of bronchioles and alveolar ducts with inflammatory cell infiltration. Several etiologies of BOOP have been identified, although it is most commonly idiopathic. Hemoptysis is an unusual clinical presentation of BOOP. Here we report a patient with Hodgkin's lymphoma who developed BOOP after chemotherapy with doxorubicin, bleomycin, vinblastine, and dacarbazine. Initially, he was treated successfully with corticosteroids, but still redeveloped BOOP after bleomycin-free chemotherapy.