title: [Alveolar proteinosis in a facade plasterer. A sequential study of bronchoalveolar lavage and thoracic computerized tomography].
abstract: Alveolar proteinosis is a rare disease. We report a case occurring in a patient who smoked and was a facade plasterer who was treated with repeated pulmonary lavage. A mineral analysis of the lavage fluid recovered a significant amount of silica and iron oxide confirming the massive exposure of the patient to these minerals. The favourable outcome over the next 7 years was associated as regards respiratory function, with a progressive improvement in lung volumes and pulmonary output and of CO diffusion capacity, as regards broncho-alveolar lavage there was a regular increase in the cellularity and finally as regards CT scanning (at high resolution) there was a progressive clearing of the alveolar opacities only leaving the persistent opacities in the interstitium.
authors.affiliation: Service de Pneumologie et Immuno-Allergologie, Hôpital Calmette, Lille.
authors.forename: F
authors.initials: F
authors.lastname: Chomy
authors.forename: B
authors.initials: B
authors.lastname: Wallaert
authors.forename: B
authors.initials: B
authors.lastname: Gosselin
authors.forename: M
authors.initials: M
authors.lastname: Jardin
authors.forename: P
authors.initials: P
authors.lastname: De Vuyst
authors.forename: A B
authors.initials: AB
authors.lastname: Tonnel
mesh_terms: D000328:Adult; D001992:Bronchoalveolar Lavage Fluid / Q000032:analysis; D006801:Humans; D008297:Male; D009784:Occupational Diseases / Q000000981:diagnostic imaging / Q000628:therapy; D011649:Pulmonary Alveolar Proteinosis / Q000000981:diagnostic imaging / Q000628:therapy; D012119:Respiration; D007507:Therapeutic Irrigation; D014057:Tomography, X-Ray Computed
vernacular_title: Protéinose alvéolaire chez un ravaleur de façade. Etude séquentielle du lavage broncho-alvéolaire et de la tomodensitométrie thoracique.