Document Detail


Alveolar proteinosis as a consequence of immunosuppression. A hypothesis based on clinical and pathologic observations.
MedLine Citation:
PMID:  7429503     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Eight patients with hematologic malignant disease presented with associated alveolar proteinosis. All but one of these patients also had evidence of opportunistic infections. No explanation for this association could be elicited, but all patients appeared immunosuppressed at the time of their death. Autopsy revealed proteinaceous material or micro-organisms in the alveoli, but the inflammatory response was minimal. Forty cases of opportunistic infections and 22 cases of hematologic malignant disease were found among the patients with alveolar proteinosis reported in the literature. Lungs in these cases also lacked a significant number of inflammatory cells capable of phagocytosis. On the basis of these observations, a hypothesis is formulated to explain alveolar proteinosis as being a result of poor alveolar clearance in immunosuppressed patients.
Authors:
C W Bedrossian; M A Luna; R H Conklin; W C Miller
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Human pathology     Volume:  11     ISSN:  0046-8177     ISO Abbreviation:  Hum. Pathol.     Publication Date:  1980 Sep 
Date Detail:
Created Date:  1981-01-26     Completed Date:  1981-01-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9421547     Medline TA:  Hum Pathol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  527-35     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Female
Humans
Immunosuppressive Agents / adverse effects
Infant
Leukemia / complications,  drug therapy
Lymphoma / complications,  drug therapy
Male
Middle Aged
Pulmonary Alveolar Proteinosis / chemically induced,  immunology*,  pathology
Respiratory Tract Infections / immunology
Chemical
Reg. No./Substance:
0/Immunosuppressive Agents

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