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COPA Syndrome

Imaging findings

Chest CT in a 20-year-old female with a history of Still's disease and macrophage activation syndrome shows diffuse pulmonary hyperattenuation (cysts and ground glass) and persistent, chronic axillary and mediastinal lymphadenopathy.

Key takeaways

COPA (coatomer subunit alpha) syndrome is a rare autosomal dominant autoimmune disease. It classically presents with a combination of inflammatory arthritis (often misdiagnosed as juvenile idiopathic arthritis or Still's disease) and cystic/fibrotic interstitial lung disease.

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