An Infant With Interstitial Lung Disease of Rare Cause.

Li, Cong; Zhang, Huishan; Mo, Jiali; Wang, Yanqiong; Song, Danyu; Wu, Penghui; Xiong, Yan; Qiu, Jianxing et al. · Chest · 2022

case_report · Level V

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Abstract

An 11-month-old boy was admitted to our hospital because of "recurrent cough with intermittent dyspnea for more than 8 months, aggravated for 1 month." The baby began experiencing a recurrent milk-choking problem within 1.5 months after birth. He had been hospitalized four times, but the symptoms recurred. One month previously, the symptoms were aggravated and a chest CT scan performed at outside hospital showed interstitial changes. Pediatric bronchoscopy revealed bronchial inflammatory features, with hemosiderin-laden macrophages being found in BAL fluid (BALF). Also, periodic acid-Schiff (PAS) staining showed positive results, which indicated the possibility of pulmonary alveolar proteinosis (PAP) or idiopathic pulmonary hemosiderosis (IPH).

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