Pulmonary alveolar proteinosis: Difference between revisions
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===Cytology=== | ===Cytology=== | ||
In conjunction with history and imaging, PAP be suggested on cytology.<ref name=pmid29607238>{{cite journal |authors=Li M, Alowami S, Schell M, Davis C, Naqvi A |title=Pulmonary Alveolar Proteinosis in Setting of Inhaled Toxin Exposure and Chronic Substance Abuse |journal=Case Rep Pulmonol |volume=2018 |issue= |pages=5202173 |date=2018 |pmid=29607238 |pmc=5828087 |doi=10.1155/2018/5202173 |url=}}</ref> | In conjunction with history and imaging, PAP may be suggested on cytology.<ref name=pmid29607238>{{cite journal |authors=Li M, Alowami S, Schell M, Davis C, Naqvi A |title=Pulmonary Alveolar Proteinosis in Setting of Inhaled Toxin Exposure and Chronic Substance Abuse |journal=Case Rep Pulmonol |volume=2018 |issue= |pages=5202173 |date=2018 |pmid=29607238 |pmc=5828087 |doi=10.1155/2018/5202173 |url=}}</ref> | ||
<pre> | <pre> | ||
Right Lung, BAL: | Right Lung, BAL: NEGATIVE for Malignancy. Macrophages and amorphous material present in a dirty background, see comment. | ||
Comment: | Comment: | ||
Satisfactory for evaluation. | Satisfactory for evaluation. | ||
PAS | PAS POSITIVE and PSAD POSITIVE staining globules are present. GMS stain for pneumocystis is NEGATIVE. | ||
In the proper clinical context, the findings may be in keeping with pulmonary alveolar proteinosis. | In the proper clinical context, the findings may be in keeping with pulmonary alveolar proteinosis (PAP). | ||
In the context of possible PAP, GM-CSF testing is suggested, if not already done. Please correlate with clinical and radiologic findings. | In the context of possible PAP, GM-CSF testing is suggested, if not already done. Please correlate with clinical and radiologic findings. | ||