Recurrent pulmonary alveolar proteinosis secondary to agammaglobulinemia
Autor: | Inci Gulmez, Turkan Patiroglu, Tahir E. Patiroglu, Başak Nur Akyıldız |
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Rok vydání: | 2008 |
Předmět: |
Pulmonary and Respiratory Medicine
Pathology medicine.medical_specialty ARDS Lung medicine.diagnostic_test business.industry Respiratory disease medicine.disease Pneumonia Bronchoalveolar lavage medicine.anatomical_structure Respiratory failure hemic and lymphatic diseases Immunopathology Pediatrics Perinatology and Child Health medicine Pulmonary alveolar proteinosis business |
Zdroj: | Pediatric Pulmonology. 43:710-713 |
ISSN: | 8755-6863 |
Popis: | Pulmonary alveolar proteinosis (PAP) is characterized by the accumulation of surfactant derived material in the lung of patients. PAP is rare in children. The patient presented with respiratory failure. In the history she was diagnosed with agammaglobulinemia at 8 months of age and has been treated by IVIG once in a month. She had two pulmonary alveolary proteinosis attacks before. Chest X-ray showed bilateral diffuse infiltrates. Initial diagnosis were pneumonia, ARDS, and lung edema. Whole-lung lavage revealed lipoproteinaceous material similar to surfactant. This findings and high level of LDH was as evaluated pulmonary alveolary proteinosis. She discharged from the hospital without any respiratory complication on the ninth day. This is the first case report recurrent PAP associated with agammaglobulinemia. |
Databáze: | OpenAIRE |
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