Pulmonary alveolar proteinosis: diagnostic and therapeutic challenges

<p>Abstract</p> <p>Pulmonary Alveolar Proteinosis (PAP) is a rare syndrome characterized by pulmonary surfactant accumulation within the alveolar spaces. It occurs with a reported prevalence of 0.1 per 100,000 individuals and in distinct clinical forms: autoimmune (previously refer...

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Main Authors: Campo Ilaria, Kadija Zamir, Mariani Francesca, Paracchini Elena, Rodi Giuseppe, Mojoli Francesco, Braschi Antonio, Luisetti Maurizio
Format: Article
Language:English
Published: Mattioli 1885 2012-06-01
Series:Multidisciplinary Respiratory Medicine
Subjects:
Online Access:http://www.mrmjournal.com/content/7/1/4
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author Campo Ilaria
Kadija Zamir
Mariani Francesca
Paracchini Elena
Rodi Giuseppe
Mojoli Francesco
Braschi Antonio
Luisetti Maurizio
author_facet Campo Ilaria
Kadija Zamir
Mariani Francesca
Paracchini Elena
Rodi Giuseppe
Mojoli Francesco
Braschi Antonio
Luisetti Maurizio
author_sort Campo Ilaria
collection DOAJ
description <p>Abstract</p> <p>Pulmonary Alveolar Proteinosis (PAP) is a rare syndrome characterized by pulmonary surfactant accumulation within the alveolar spaces. It occurs with a reported prevalence of 0.1 per 100,000 individuals and in distinct clinical forms: autoimmune (previously referred to as the idiopathic form, represents the vast majority of PAP cases, and is associated with Granulocyte-Macrophage Colony Stimulating Factor (GM-CSF) auto-antibodies; GMAbs), secondary (is a consequence of underlying disorders), congenital (caused by mutations in the genes encoding for the GM-CSF receptor), and PAP-like syndromes (disorders associated with surfactant gene mutations). The clinical course of PAP is variable, ranging from spontaneous remission to respiratory failure. Whole lung lavage (WLL) is the current standard treatment for PAP patients and although it is effective in the majority of cases, disease persistence is not an unusual outcome, even if disease is well controlled by WLL.</p> <p>In this paper we review the therapeutic strategies which have been proposed for the treatment of PAP patients and the progress which has been made in the understanding of the disease pathogenesis.</p>
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spelling doaj.art-496163df17bc4f59a86890f62b9b25352024-04-28T11:27:18ZengMattioli 1885Multidisciplinary Respiratory Medicine2049-69582012-06-0171410.1186/2049-6958-7-4Pulmonary alveolar proteinosis: diagnostic and therapeutic challengesCampo IlariaKadija ZamirMariani FrancescaParacchini ElenaRodi GiuseppeMojoli FrancescoBraschi AntonioLuisetti Maurizio<p>Abstract</p> <p>Pulmonary Alveolar Proteinosis (PAP) is a rare syndrome characterized by pulmonary surfactant accumulation within the alveolar spaces. It occurs with a reported prevalence of 0.1 per 100,000 individuals and in distinct clinical forms: autoimmune (previously referred to as the idiopathic form, represents the vast majority of PAP cases, and is associated with Granulocyte-Macrophage Colony Stimulating Factor (GM-CSF) auto-antibodies; GMAbs), secondary (is a consequence of underlying disorders), congenital (caused by mutations in the genes encoding for the GM-CSF receptor), and PAP-like syndromes (disorders associated with surfactant gene mutations). The clinical course of PAP is variable, ranging from spontaneous remission to respiratory failure. Whole lung lavage (WLL) is the current standard treatment for PAP patients and although it is effective in the majority of cases, disease persistence is not an unusual outcome, even if disease is well controlled by WLL.</p> <p>In this paper we review the therapeutic strategies which have been proposed for the treatment of PAP patients and the progress which has been made in the understanding of the disease pathogenesis.</p>http://www.mrmjournal.com/content/7/1/4GM-CSFPulmonary alveolar proteinosisWLL
spellingShingle Campo Ilaria
Kadija Zamir
Mariani Francesca
Paracchini Elena
Rodi Giuseppe
Mojoli Francesco
Braschi Antonio
Luisetti Maurizio
Pulmonary alveolar proteinosis: diagnostic and therapeutic challenges
Multidisciplinary Respiratory Medicine
GM-CSF
Pulmonary alveolar proteinosis
WLL
title Pulmonary alveolar proteinosis: diagnostic and therapeutic challenges
title_full Pulmonary alveolar proteinosis: diagnostic and therapeutic challenges
title_fullStr Pulmonary alveolar proteinosis: diagnostic and therapeutic challenges
title_full_unstemmed Pulmonary alveolar proteinosis: diagnostic and therapeutic challenges
title_short Pulmonary alveolar proteinosis: diagnostic and therapeutic challenges
title_sort pulmonary alveolar proteinosis diagnostic and therapeutic challenges
topic GM-CSF
Pulmonary alveolar proteinosis
WLL
url http://www.mrmjournal.com/content/7/1/4
work_keys_str_mv AT campoilaria pulmonaryalveolarproteinosisdiagnosticandtherapeuticchallenges
AT kadijazamir pulmonaryalveolarproteinosisdiagnosticandtherapeuticchallenges
AT marianifrancesca pulmonaryalveolarproteinosisdiagnosticandtherapeuticchallenges
AT paracchinielena pulmonaryalveolarproteinosisdiagnosticandtherapeuticchallenges
AT rodigiuseppe pulmonaryalveolarproteinosisdiagnosticandtherapeuticchallenges
AT mojolifrancesco pulmonaryalveolarproteinosisdiagnosticandtherapeuticchallenges
AT braschiantonio pulmonaryalveolarproteinosisdiagnosticandtherapeuticchallenges
AT luisettimaurizio pulmonaryalveolarproteinosisdiagnosticandtherapeuticchallenges