Document Detail


Pulmonary alveolar proteinosis: successful treatment with aerosolized trypsin.
MedLine Citation:
PMID:  425974     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 37 year old man with pulmonary alveolar proteinosis and severe pulmonary physiologic impairment was treated empirically for 12 months with continuous oxygen, intermittent positive pressure breathing and aerosolized saline solution, heparin and acetylcysteine. Because of progression of disease, he was treated with aerosolized trypsin in a dose of 100,000 U twice daily for six months. This treatment was associated with dramatic symptomatic, chest roentgenographic and pulmonary physiologic improvement that has lasted for two and a half years without remission. The absence of adverse effects of trypsin aerosol allowed its administration in the patient's home. It is suggested that the preferred initial therapy for symptomatic alveolar proteinosis is aerosolized trypsin.
Authors:
S J Jay
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of medicine     Volume:  66     ISSN:  0002-9343     ISO Abbreviation:  Am. J. Med.     Publication Date:  1979 Feb 
Date Detail:
Created Date:  1979-05-26     Completed Date:  1979-05-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0267200     Medline TA:  Am J Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  348-54     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aerosols
Biopsy
Humans
Lung / pathology
Male
Pulmonary Alveolar Proteinosis / drug therapy*,  pathology
Respiratory Function Tests
Trypsin / administration & dosage,  therapeutic use*
Chemical
Reg. No./Substance:
0/Aerosols; EC 3.4.21.4/Trypsin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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