Some Less Common Pulmonary Diseases

Özet42 year-old female with 4 months history of dyspnea was referred to our hospital for further examination with bilateral alveolar infiltration on chest X-Ray. For differential diagnosis, a bronchoalveolar lavage (BAL) was performed. The BAL fluid had a milky appearance and prepared smears showed proteinous material which contains periodic acid-Schiff (PAS) positive and diastase-PAS resistant globules. The patient was diagnosed as pulmonary alveolar proteinosis (PAP). Nine consecutive BAL was performed by a team including an anesthesiologist, a pulmonologist, and a thoracic surgeon. In this case report, we aimed to share our experiences on sequential whole lung lavage in a patient with PAP.Kırk iki yaşındaki bayan hasta, 4 aydır devam eden nefes darlığı yakınması ve akciğer radyogramında bilateral alveoler infiltrasyon görünümü nedeniyle ileri tetkik için hastanemize gönderilmişti. Göğüs hastalıkları kliniğimizde yapılan tetkiklerle alveoler görünüm yapan hastalıklar yönünden incelemeler ve bronkoalveolar lavaj (BAL) yapıldı. BAL sıvısının süt görünümünde olduğu, hazırlanan yaymalarda PAS (periodic acid-Schiff ) pozitif ve d-PAS rezistan globüller içeren proteinöz materyalin görülmesi üzerine hastamız "Pulmoner alveoler proteinozis" tanısı aldı. Ardışık uygulamalar şeklinde toplam 9 kez tüm akciğer lavajı göğüs hastalıkları, anesteziyoloji ve göğüs cerrahisi doktorlarından oluşan bir ekip tarafından gerçekleştirildi. Bu olgu sunumunda, süreç içinde kazanılan deneyim ve işlem protokolünün hastamızın son durumu ile birlikte paylaşılması amaçlanmıştır.

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Some Less Common Pulmonary Diseases

Cited by 2 publications

References 155 publications

Recurrent haemoptysis with anaemia in a 16 year old man

Recurrent haemoptysis with anaemia in a 16 year old man

Whole Lung Lavage In a Patient With Pulmonery Alveolary Proteinosis

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