Alveolar proteinosis

Case contributed by Dr Craig Hacking

Presentation

Chronic cough, heavy smoker.

Patient Data

Age: 35 years
Gender: Male
X-ray

Central bilateral infiltrates with sparing of the apices and costophrenic angles. Normal lung volumes. No pleural effusion or PTX. Cardiomediastinal contours are normal.

Case Discussion

DDx for batwing opacities includes pulmonary edema, PCP, pulmonary hemorrhage and PAP.

This patient was suspected for PAP on clinical grounds and underwent bronchoscopy, with bronchial lavage confirming alveolar proteinosis with copious amounts of surfactant.

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Case information

rID: 71382
Published: 1st Oct 2019
Last edited: 7th Oct 2019
System: Chest
Inclusion in quiz mode: Included

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