Pulmonary Alveolar Proteinosis

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Pulmonary Alveolar Proteinosis Shahnaz Ul Rehman, MD, Jeffrey R. Hammersley, MD Mayo Clinic Proceedings Volume 91, Issue 11, Pages 1673-1674 (November 2016) DOI: 10.1016/j.mayocp.2016.07.011 Copyright © 2016 Terms and Conditions

Figure 1 High-resolution chest computed tomographic scan shows the crazy-paving pattern of diffuse interstitial and ground-glass opacification throughout the lung fields. Mayo Clinic Proceedings 2016 91, 1673-1674DOI: (10.1016/j.mayocp.2016.07.011) Copyright © 2016 Terms and Conditions

Figure 2 The fluid retrieved from the whole lung lavage shows milky lipoproteinaceous material. The first bottle is more milky and turbid. Mayo Clinic Proceedings 2016 91, 1673-1674DOI: (10.1016/j.mayocp.2016.07.011) Copyright © 2016 Terms and Conditions

Supplemental Figure Cytologic examination shows intra-alveolar, periodic acid–Schiff (PAS)–positive granular material consistent with pulmonary alveolar proteinosis. Mayo Clinic Proceedings 2016 91, 1673-1674DOI: (10.1016/j.mayocp.2016.07.011) Copyright © 2016 Terms and Conditions