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[Plasmapheresis failure in the treatment of auto-immune pulmonary alveolar proteinosis]
A Jézéquel1, M Kerjouan1, M Lederlin2
1Service de pneumologie, hôpital Pontchaillou, 35000 Rennes, France.
Introduction:
Auto-immune pulmonary alveolar proteinosis is a rare disorder characterized by the accumulation of surfactant proteins in the alveoli.
Case Report:
We report a case of a 41-year-old smoker, presenting initially with acute respiratory failure. Whole lung lavages were effective initially but only for a few weeks. GM-CSF subcutaneous injections were not effective, and then plasmapheresis were tried.
Conclusion:
This is the fifth report of the use of this treatment in auto-immune pulmonary alveolar proteinosis. Plasmapheresis was not effective in our patient.
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