The “crazy paving pattern” lung in a pregnant woman
Pulmonary Alveolar Proteinosis (PAP) is a rare disorder characterized by an abnormal accumulation of a PAS positive material within the alveolar spaces and distal bronchioles. A 29 year old lady in her 29th week of pregnancy presented with prolonged dry cough for two months which was associated with...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English English |
| Published: |
Wiley-Blackwell
2015
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/49035/1/the_crazy_paving_pattern.pdf http://irep.iium.edu.my/49035/2/the_crazy_paving_pattern_full_version.pdf |
| _version_ | 1825649482201563136 |
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| author | Mohd Firdaus, Mohd Al-Baqlish How, Soon Hin Kuan, Yeh Chunn Ibrahim , Aishah Abd Ghani, Mohd Rasydan Chan, Chee Eng Zakaria, Alik Riasadesa Satwi, Sapari Loh, Tien Chi |
| author_facet | Mohd Firdaus, Mohd Al-Baqlish How, Soon Hin Kuan, Yeh Chunn Ibrahim , Aishah Abd Ghani, Mohd Rasydan Chan, Chee Eng Zakaria, Alik Riasadesa Satwi, Sapari Loh, Tien Chi |
| author_sort | Mohd Firdaus, Mohd Al-Baqlish |
| collection | IIUM |
| description | Pulmonary Alveolar Proteinosis (PAP) is a rare disorder characterized by an abnormal accumulation of a PAS positive material within the alveolar spaces and distal bronchioles. A 29 year old lady in her 29th week of pregnancy presented with prolonged dry cough for two months which was associated with reduced effort tolerance and low grade fever. At presentation she is hypoxic
and required oxygen supplement. She was initially treated empirically for tuberculosis but she continued to have worsening hypoxia. A high resolution CT thorax revealed a crazy paving pattern lung which was suggestive of PAP.
She delivered a healthy baby at 36 weeks via an elective Caesarean section. Post operatively she underwent diagnostic bronchoalveolar lavage which showed acellular homogenous eosinophilic material which was positive for PAS/PASD and negative for mucin. Therapeutic whole lung lavage was performed and her symptoms and lung function tests improved. In this case report, we will discuss how we made the diagnosis of PAP and share our experience
in managing a pregnant woman with this condition.
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| first_indexed | 2024-03-05T23:48:13Z |
| format | Article |
| id | oai:generic.eprints.org:49035 |
| institution | International Islamic University Malaysia |
| language | English English |
| last_indexed | 2024-03-05T23:48:13Z |
| publishDate | 2015 |
| publisher | Wiley-Blackwell |
| record_format | dspace |
| spelling | oai:generic.eprints.org:490352016-07-19T06:36:18Z http://irep.iium.edu.my/49035/ The “crazy paving pattern” lung in a pregnant woman Mohd Firdaus, Mohd Al-Baqlish How, Soon Hin Kuan, Yeh Chunn Ibrahim , Aishah Abd Ghani, Mohd Rasydan Chan, Chee Eng Zakaria, Alik Riasadesa Satwi, Sapari Loh, Tien Chi RC Internal medicine Pulmonary Alveolar Proteinosis (PAP) is a rare disorder characterized by an abnormal accumulation of a PAS positive material within the alveolar spaces and distal bronchioles. A 29 year old lady in her 29th week of pregnancy presented with prolonged dry cough for two months which was associated with reduced effort tolerance and low grade fever. At presentation she is hypoxic and required oxygen supplement. She was initially treated empirically for tuberculosis but she continued to have worsening hypoxia. A high resolution CT thorax revealed a crazy paving pattern lung which was suggestive of PAP. She delivered a healthy baby at 36 weeks via an elective Caesarean section. Post operatively she underwent diagnostic bronchoalveolar lavage which showed acellular homogenous eosinophilic material which was positive for PAS/PASD and negative for mucin. Therapeutic whole lung lavage was performed and her symptoms and lung function tests improved. In this case report, we will discuss how we made the diagnosis of PAP and share our experience in managing a pregnant woman with this condition. Wiley-Blackwell 2015 Article PeerReviewed application/pdf en http://irep.iium.edu.my/49035/1/the_crazy_paving_pattern.pdf application/pdf en http://irep.iium.edu.my/49035/2/the_crazy_paving_pattern_full_version.pdf Mohd Firdaus, Mohd Al-Baqlish and How, Soon Hin and Kuan, Yeh Chunn and Ibrahim , Aishah and Abd Ghani, Mohd Rasydan and Chan, Chee Eng and Zakaria, Alik Riasadesa and Satwi, Sapari and Loh, Tien Chi (2015) The “crazy paving pattern” lung in a pregnant woman. Respirology, 20 (S3). p. 81. ISSN 1323-7799 |
| spellingShingle | RC Internal medicine Mohd Firdaus, Mohd Al-Baqlish How, Soon Hin Kuan, Yeh Chunn Ibrahim , Aishah Abd Ghani, Mohd Rasydan Chan, Chee Eng Zakaria, Alik Riasadesa Satwi, Sapari Loh, Tien Chi The “crazy paving pattern” lung in a pregnant woman |
| title | The “crazy paving pattern” lung in a pregnant woman
|
| title_full | The “crazy paving pattern” lung in a pregnant woman
|
| title_fullStr | The “crazy paving pattern” lung in a pregnant woman
|
| title_full_unstemmed | The “crazy paving pattern” lung in a pregnant woman
|
| title_short | The “crazy paving pattern” lung in a pregnant woman
|
| title_sort | crazy paving pattern lung in a pregnant woman |
| topic | RC Internal medicine |
| url | http://irep.iium.edu.my/49035/1/the_crazy_paving_pattern.pdf http://irep.iium.edu.my/49035/2/the_crazy_paving_pattern_full_version.pdf |
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