Pulmonary Alveolar Proteinosis in an AIDS Patient without Concurrent Pulmonary Infection

Allen T Liu,David C Rayner,Eric Vallieres,Dale C Lien,Lil J Miedzinski

doi:10.1155/1995/958415

Abstract

Patients with acquired immunodeficiency syndrome (AIDS) are potentially at increased risk for developing secondary pulmonary alveolar proteinosis because of underlying immunosuppression and frequent opportunistic lung infections. This condition. however, has been diagnosed uncommonly in these patients and, with the exception of one previously reported case. only in the presence of concurrent pulmonary infection. The case of a 35-year-old male with AIDS who was found on open lung biopsy to have pulmonary alveolar proteinosis without evidence of associated lung infection is presented.

Highlights

Patients with acquired immunode ficiency syndrome (AIDS) are potential ly at increased ri sk fo r deve loping secondary pulmonary alveolar prote inosis because of underly ing immunosuppression and freq uent opportunistic lung infections
RESUME : Les patie nts soutfrant du syndrome d'immunodefici ence acqu ise (SIDA) sont potentie llement a plus grand risque de deve lopper une proteinose alvcolaire secondaire [1 cause d 'une immunodeprcssion sous-jacente ct de frequentes in fections pul mo naires opportuni stes
We present a case without an as sociated lung infection which, to our kno wledge, has been re ported only once previously

Summary

CASE REPORT

Pulmonary alveolar proteinosis in an AIDS patient without concurrent pulmonary infection. Patients with acquired immunode ficiency syndrome (AIDS) are potential ly at increased ri sk fo r deve loping secondary pulmonary alveolar prote inosis because of underly ing immunosuppression and freq uent opportunistic lung infections. T he case of a 35-year-old male with AIDS who wa s found on open lung biopsy to have pul monary alveolar protei nosis without e vidence of associ ated lung infect ion is presented. Proteinose alveolaire sans infection pulmonaire concomitante chez un patient sidatique. Previous reports of PAP in A IDS patients have usually been in the presence of an active or recent infection.

LIU ET AL

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DISCUSSION

CONCLUSIONS