title: Pulmonary alveolar proteinosis in a 10-year-old girl masquerading as tuberculosis.
abstract: Pulmonary alveolar proteinosis (PAP) is a rare pulmonary disease. Diagnosis is established by bronchoalveolar lavage (BAL), which has macroscopic 'milky appearance', and in the presence of typical computed tomography, findings are diagnostic of PAP but, however, the feature of periodic acid-Schiff-positive eosinophilic proteinaceous fluid raises the confidence of the diagnosis. We report late-onset PAP in a 10-year-old girl who had acid fast bacilli on an initial BAL examination, but was subsequently diagnosed as PAP.
authors.affiliation: Pediatric Tuberculosis Clinic , B J Wadia Hospital for Children , Mumbai , India.
authors.forename: Abhamoni
authors.initials: A
authors.lastname: Baro
authors.affiliation: Pediatric Tuberculosis Clinic , B J Wadia Hospital for Children , Mumbai , India.
authors.forename: Ira
authors.initials: I
authors.lastname: Shah
authors.affiliation: Pediatric Tuberculosis Clinic , B J Wadia Hospital for Children , Mumbai , India.
authors.forename: Parmarth
authors.initials: P
authors.lastname: Chandane
authors.affiliation: Dr Indu's Newborn and Pediatric Center , Mumbai , India.
authors.forename: Indu
authors.initials: I
authors.lastname: Khosla