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...

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Main Authors:	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
Format:	Article
Language:	English English
Published:	Wiley-Blackwell 2015
Subjects:	RC Internal medicine
Online Access:	http://irep.iium.edu.my/49035/ 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

id	iium-49035
recordtype	eprints
spelling	iium-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
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	RC Internal medicine
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
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.
format	Article
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
title	The “crazy paving pattern” lung in a pregnant woman
title_short	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_sort	“crazy paving pattern” lung in a pregnant woman
publisher	Wiley-Blackwell
publishDate	2015
url	http://irep.iium.edu.my/49035/ 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
first_indexed	2023-09-18T21:09:23Z
last_indexed	2023-09-18T21:09:23Z
_version_	1777411150073298944

The “crazy paving pattern” lung in a pregnant woman

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