Pulmonary alveolar proteinosis in a kidney transplant: a rare complication of sirolimus

Autor: Huseyin Kadikoy, Wadi N. Suki, A. Osama Gaber, Michael A. Paolini, Abdul Abdellatif, Nabeel Anwar, Katafan Achkar, Roberto Barrios, Abdallah Jeroudi
Rok vydání: 2010
Předmět:
Zdroj: Nephrology Dialysis Transplantation. 25:2795-2798
ISSN: 1460-2385
0931-0509
Popis: Pulmonary alveolar proteinosis (PAP) has been associated with the immunosuppressant sirolimus in transplant patients. PAP is a progressive lung disease characterized by the accumulation of surfactant-like material in the lungs leading to decreased pulmonary function with shortness of breath and cough as common symptoms. We report a rare case of sirolimus-associated PAP in a kidney transplant recipient with a history of end-stage renal disease secondary to haemolytic uraemic syndrome (HUS) and review of the literature. Discontinuation of sirolimus and initiation of tacrolimus led to resolution of PAP without recurrence of HUS.
Databáze: OpenAIRE