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Pulmonary alveolar proteinosis treatment by whole-lung lavage
  1. Chang Cai,
  2. Min Ye,
  3. Honglei Xu,
  4. Yuping Li
  1. Division of Pulmonary Medicine, First Affiliated Hospital of Wenzhou Medical College, Wenzhou, China
  1. Correspondence to Yuping Li, Division of Pulmonary Medicine, First Affiliated Hospital of Wenzhou Medical College, Fuxue Lane No. 2, Wenzhou 32500, China; wzres686{at}163.com

http://dx.doi.org/10.1136/postgradmedj-2011-130620

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    Pulmonary alveolar proteinosis (PAP) is a rare condition which is characterised by the abnormal accumulation of proteinaceous material in the alveolar spaces, with resulting impairment in oxygen exchange across the involved alveoli. The diagnosis of PAP can be established by the classic ‘milky’ effluent bronchoalveolar lavage fluid (BALF). The current effective treatment for PAP is whole-lung lavage (WLL). We offer one case of PAP with apparent presentations and the clinical course. This report provides some information about the diagnosis and treatment of PAP (see PAP video online).

    A 39-year-old man, an ex-smoker, was brought to our respiratory department due to dry cough and progressive exertional dyspnoea for 7 months. He had …

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