Autoimmune pulmonary alveolar proteinosis in an adolescent successfully treated with inhaled rhGM-CSF (molgramostim)

Autor: Marta E. Gajewska, Sajitha S. Sritharan, Eric Santoni-Rugiu, Elisabeth M. Bendstrup
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Respiratory Medicine Case Reports, Vol 23, Iss , Pp 167-169 (2018)
Druh dokumentu: article
ISSN: 2213-0071
DOI: 10.1016/j.rmcr.2018.02.005
Popis: Autoimmune pulmonary alveolar proteinosis (aPAP) is a rare parenchymal lung disease characterized by accumulation of surfactant in the airways with high levels of granulocyte-macrophage colony stimulating factor (GM-CSF) antibodies in blood. Disease leads to hypoxemic respiratory failure. Whole lung lavage (WLL) is considered the first line therapy, but procedure can be quite demanding, specifically for children. Recently alternative treatment options with inhaled GM-CSF have been described but no consensus about the standard treatment exists. We here describe a unique case of a 14-year-old patient who was successfully treated with WLL and subsequent inhalations with molgramostim – new recombinant human GM-CSF (rhGM-CSF). Keywords: Pulmonary alveolar proteinosis, Granulocyte-macrophage colony-stimulating factor, GM-SCF, Molgramostim, Inhalation therapy
Databáze: Directory of Open Access Journals