open access

Vol 72, No 5-6 (2004)
CASE REPORTS
Published online: 2008-02-18
Submitted: 2013-02-22
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Case of alveolar proteinosis after professional exposition to cotton and linen dust, succesfully treated with whole lung lavage

Monika Kosacka, Tomasz Dyła, Renata Jankowska
Pneumonol Alergol Pol 2004;72(5-6):217-220.

open access

Vol 72, No 5-6 (2004)
CASE REPORTS
Published online: 2008-02-18
Submitted: 2013-02-22

Abstract

Alveolar proteinosis can be primary or secondary. The secondary alveolar proteinosis was observed in infections, in malignancies and after exposition to various dusts. We present a 55 years old woman with severe pulmonary alveolar proteinosis, who was exposed to cotton and linen dust in work for 20 years. The main features were slowly increasing dyspnoea and cough. Chest X-ray revealed diffuse bilateral acinar infiltrates. We observed decreased diffusing capasity, and severe hypoxaemia. The diagnosis was confirmed by transbronchial lung biopsy. Histapathology examination reveled characteristic alveolar filling by PAS-positive material. The patient under went the whole lung lavage (WLL) with very good therapeutic effect. WLL was performed under general anaesthesia with a double-lumen endotracheal tube. We used 20 L 0.9 % saline to lavage one lung. Clinical and functional improvement has persisted for over 1 year.

Abstract

Alveolar proteinosis can be primary or secondary. The secondary alveolar proteinosis was observed in infections, in malignancies and after exposition to various dusts. We present a 55 years old woman with severe pulmonary alveolar proteinosis, who was exposed to cotton and linen dust in work for 20 years. The main features were slowly increasing dyspnoea and cough. Chest X-ray revealed diffuse bilateral acinar infiltrates. We observed decreased diffusing capasity, and severe hypoxaemia. The diagnosis was confirmed by transbronchial lung biopsy. Histapathology examination reveled characteristic alveolar filling by PAS-positive material. The patient under went the whole lung lavage (WLL) with very good therapeutic effect. WLL was performed under general anaesthesia with a double-lumen endotracheal tube. We used 20 L 0.9 % saline to lavage one lung. Clinical and functional improvement has persisted for over 1 year.
Get Citation

Keywords

alveolar proteinosis; whole lung lavage

About this article
Title

Case of alveolar proteinosis after professional exposition to cotton and linen dust, succesfully treated with whole lung lavage

Journal

Advances in Respiratory Medicine

Issue

Vol 72, No 5-6 (2004)

Pages

217-220

Published online

2008-02-18

Bibliographic record

Pneumonol Alergol Pol 2004;72(5-6):217-220.

Keywords

alveolar proteinosis
whole lung lavage

Authors

Monika Kosacka
Tomasz Dyła
Renata Jankowska

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