[Alveolar proteinosis in a facade plasterer. A sequential study of bronchoalveolar lavage and thoracic computerized tomography].
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.
Chomy
F
F
Service de Pneumologie et Immuno-Allergologie, Hôpital Calmette, Lille.
Wallaert
B
B
Gosselin
B
B
Jardin
M
M
De Vuyst
P
P
Tonnel
A B
AB
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
Protéinose alvéolaire chez un ravaleur de façade. Etude séquentielle du lavage broncho-alvéolaire et de la tomodensitométrie thoracique.