Pathological features of explant lungs with fibrosis in autoimmune pulmonary alveolar proteinosis

In this study, we report a case of aPAP with progressive fibrosis occurring in a 46‐year‐old woman. She had undergone several repetitions of whole lung lavage (WLL) for 7 years and granulocyte‐macrophage colony‐stimulating factor (GM‐CSF) inhalation for 3 months; however, the progression of fibrosis was not hindered. Eventually, she was treated with bilateral lung transplantation. The computed tomography (CT) image suggested pulmonary fibrotic changes in her lung similar to usual interstitial pneumonia. However, the pathological analyses of explant lungs revealed that the fibrosis was not similar to ordinary interstitial pneumonias and suggested that the dysfunction of alveolar macrophage in removing the excess surfactant of alveolar spaces played an important role in the fibrogenesis in aPAP. We report a case of autoimmune pulmonary alveolar proteinosis (aPAP) with progressive fibrosis occurring in a 46‐year‐old woman. Despite several whole lung lavage (WLL) and granulocyte‐macrophage colony‐stimulating factor (GM‐CSF) treatment, fibrosis progressed and bilateral lung transplantation was performed. Computed tomography (CT) suggested IP‐like fibrotic changes, but pathological analysis of explant lungs showed it was not the case and suggested that the dysfunction of alveolar macrophage in removing the excess surfactant of alveolar spaces had an important role in the fibrogenesis in aPAP.
Source: Respirology Case Reports - Category: Respiratory Medicine Authors: Tags: Case Report Source Type: research