A case of pulmonary alveolar proteinosis treated with whole lung lavage

Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine
Avdhesh Bansal, Vikas Sikri

Abstract

Pulmonary alveolar proteinosis represents a rare syndrome characterized by the accumulation of proteinaceous phospholipid-laden material in the alveoli. This leads to impaired gas exchange and arterial hypoxemia of varying degrees. The diagnosis is confirmed by lung biopsy. Sequential whole-lung lavage (WLL) first described in 1963 is the standard of care. We report a case of a male diagnosed of having pulmonary alveolar proteinosis (PAP) on transbroncial lung biopsy (TBLB). He was treated with sequential WLL (Left followed by right, Left being more involved on chest X-ray) followed by recombinant GM-CSF, with good result.

References

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Citations

May 18, 2016·Lung India : Official Organ of Indian Chest Society·Shekhar KunalAshok Shah
Dec 30, 2016·Respirology Case Reports·Armando J Huaringa, Wassem H Francis

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Methods Mentioned

BETA
biopsy
X-ray
lavage

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