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Hereditary pulmonary alveolar proteinosis. Could it be triggered by Mycoplasma pneumoniae pneumonia?
Mikel Santiago-Burruchaga1, Rafael Zalacain-Jorge, Jose Alvarez-Martinez
1Paediatric Pulmonology Unit, Paediatric Department, Hospital Universitario de Cruces, Plaza de Cruces s/n, 48903 Barakaldo, Bizkaia, Spain. MIKEL.SANTIAGOBURRUCHAGA@osakidetza.Net
Insights
A rare genetic mutation in the granulocyte-macrophage colony-stimulating factor receptor (CSF2RA) caused hereditary pulmonary alveolar proteinosis in a child. Lung lavage showed improvement, but the long-term prognosis remains unclear.
Area of Science:
- Genetics
- Pulmonology
- Pediatrics
Background:
- Hereditary pulmonary alveolar proteinosis (hPAP) is a rare lung disorder.
- It is often caused by mutations affecting the granulocyte-macrophage colony-stimulating factor (GM-CSF) pathway.
- Genetic defects in CSF2RA are a known cause of hPAP.
Abstract:
We present a three-year-old girl with respiratory failure due to hereditary pulmonary alveolar proteinosis caused by abnormal alpha chain of the granulocyte-macrophage colony-stimulating factor receptor. Both the patient and an asymptomatic seven-year-old sister were homozygous for the same mutation in CSF2RA. We speculate that the Mycoplasma pneumoniae pneumonia might have triggered the clinical presentation. While a good response to serial partial lung lavage was noticed, the ultimate outcome is uncertain.
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