Proteinose alveolar congénita.

Pulmonary Alveolar Proteinosis (PAP) is a rare entity characterized by the intra-alveolar accumulation of proteinaceous PAS positive and diastase resistant material. Its pathogenesis remains unclear, although a surfactant protein B deficiency and changes in the granulocyte-macrophage colony stimulat...

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Main Authors: Susana Pissarra, Gustavo Rocha, Inês Acevedo, Hercília Guimarães
Format: Article
Language:English
Published: Ordem dos Médicos 2005-04-01
Series:Acta Médica Portuguesa
Online Access:https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1009
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author Susana Pissarra
Gustavo Rocha
Inês Acevedo
Hercília Guimarães
author_facet Susana Pissarra
Gustavo Rocha
Inês Acevedo
Hercília Guimarães
author_sort Susana Pissarra
collection DOAJ
description Pulmonary Alveolar Proteinosis (PAP) is a rare entity characterized by the intra-alveolar accumulation of proteinaceous PAS positive and diastase resistant material. Its pathogenesis remains unclear, although a surfactant protein B deficiency and changes in the granulocyte-macrophage colony stimulating factor (GM-CSF) receptor have been proposed as involved mechanisms. Clinically two forms of PAP occur in the pediatric age group: acquired and congenital. The congenital form, very rare, presents in the neonatal period with respiratory insufficiency that starts in the first hours of life and is rapidly progressive, despite therapeutic measures. A definitive diagnosis is based on characteristic histological and immunohistochemical findings of pulmonary samples obtained by lung biopsy. The authors report on a case of Congenital Pulmonary Alveolar Proteinosis that is not associated with SP-B deficiency.
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spelling doaj.art-152d717ab5d44abfb7af76147218cf552022-12-22T04:29:59ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582005-04-0118210.20344/amp.1009Proteinose alveolar congénita.Susana Pissarra0Gustavo RochaInês AcevedoHercília GuimarãesDepartamento de Pediatria, HS João, Porto.Pulmonary Alveolar Proteinosis (PAP) is a rare entity characterized by the intra-alveolar accumulation of proteinaceous PAS positive and diastase resistant material. Its pathogenesis remains unclear, although a surfactant protein B deficiency and changes in the granulocyte-macrophage colony stimulating factor (GM-CSF) receptor have been proposed as involved mechanisms. Clinically two forms of PAP occur in the pediatric age group: acquired and congenital. The congenital form, very rare, presents in the neonatal period with respiratory insufficiency that starts in the first hours of life and is rapidly progressive, despite therapeutic measures. A definitive diagnosis is based on characteristic histological and immunohistochemical findings of pulmonary samples obtained by lung biopsy. The authors report on a case of Congenital Pulmonary Alveolar Proteinosis that is not associated with SP-B deficiency.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1009
spellingShingle Susana Pissarra
Gustavo Rocha
Inês Acevedo
Hercília Guimarães
Proteinose alveolar congénita.
Acta Médica Portuguesa
title Proteinose alveolar congénita.
title_full Proteinose alveolar congénita.
title_fullStr Proteinose alveolar congénita.
title_full_unstemmed Proteinose alveolar congénita.
title_short Proteinose alveolar congénita.
title_sort proteinose alveolar congenita
url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1009
work_keys_str_mv AT susanapissarra proteinosealveolarcongenita
AT gustavorocha proteinosealveolarcongenita
AT inesacevedo proteinosealveolarcongenita
AT herciliaguimaraes proteinosealveolarcongenita