Jin SY, Yun HR, Choi YJ, Park JD, Kim JT, Kang CH, Park YS, Choi YH, Kim WS, Suh DI. A pediatric case of relapsed pulmonary alveolar proteinosis despite successful whole lung lavage.
KOREAN JOURNAL OF PEDIATRICS 2017;
60:232-236. [PMID:
28861115 PMCID:
PMC5573747 DOI:
10.3345/kjp.2017.60.7.232]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/20/2017] [Revised: 05/11/2017] [Accepted: 05/17/2017] [Indexed: 11/27/2022]
Abstract
Pulmonary alveolar proteinosis (PAP) is a rare disease in children characterized by intra-alveolar accumulation of surfactant proteins, which severely reduces gaseous exchange. Whole lung lavage (WLL) is the preferred technique for the treatment of severe PAP. Herein, we present a pediatric case of PAP treated with WLL. An 11-year-old boy was admitted with the chief complaint of a dry cough lasting 6 months. He developed symptoms of dyspnea on exertion and had difficulty in climbing stairs. He was ultimately diagnosed with PAP through video-assisted thoracoscopic lung biopsy. As first-line of treatment for PAP, he underwent therapeutic WLL for each of his lungs on separate days. After a brief recovery, his symptoms gradually worsened; therefore, he underwent a second WLL. This is the first pediatric case of PAP relapse despite successful WLL in Korea.
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