Acquired pulmonary alveolar proteinosis after umbilical cord blood transplantation for acute myeloid leukemia

Pulmonary alveolar proteinosis (PAP) is a heterogeneous disease that occasionally develops with hematological malignancy. However, PAP in association with hematopoietic stem cell transplantation is quite rare. Here we present the first report of a patient who developed PAP after cord blood transplan...

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Veröffentlicht in:American journal of hematology 2002-06, Vol.70 (2), p.154-157
Hauptverfasser: Tomonari, Akira, Shirafuji, Naoki, Iseki, Tohru, Ooi, Jun, Nagayama, Hitomi, Masunaga, Atsuko, Tojo, Arinobu, Tani, Kenzaburo, Asano, Shigetaka
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container_title American journal of hematology
container_volume 70
creator Tomonari, Akira
Shirafuji, Naoki
Iseki, Tohru
Ooi, Jun
Nagayama, Hitomi
Masunaga, Atsuko
Tojo, Arinobu
Tani, Kenzaburo
Asano, Shigetaka
description Pulmonary alveolar proteinosis (PAP) is a heterogeneous disease that occasionally develops with hematological malignancy. However, PAP in association with hematopoietic stem cell transplantation is quite rare. Here we present the first report of a patient who developed PAP after cord blood transplantation (CBT). A 45‐year‐old female with AML underwent unrelated CBT. On day +2 after CBT she developed congestive heart failure with diffuse alveolar infiltrates in the bilateral lungs. Despite treatment, the alveolar infiltrates further increased with progression of multiple organ failure (MOF). She died from MOF before hematopoietic recovery on day +27. Post‐mortem study revealed that massive amorphous materials positive for periodic acid‐Schiff stain filled in the pulmonary alveoli. These findings led to a diagnosis of PAP. The bone marrow was hypocellular without the leukemic cells. The impaired immunity during the period of leukopenia as well as the impaired clearance of surfactant proteins might contribute to the development of PAP. Am. J. Hematol. 70:154–157, 2002.© 2002 Wiley‐Liss, Inc.
doi_str_mv 10.1002/ajh.10107
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Malignant lymphomas. Malignant reticulosis. Myelofibrosis</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multiple Organ Failure - etiology</topic><topic>Pneumology</topic><topic>pulmonary alveolar proteinosis</topic><topic>Pulmonary Alveolar Proteinosis - etiology</topic><topic>Respiratory system : syndromes and miscellaneous diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tomonari, Akira</creatorcontrib><creatorcontrib>Shirafuji, Naoki</creatorcontrib><creatorcontrib>Iseki, Tohru</creatorcontrib><creatorcontrib>Ooi, Jun</creatorcontrib><creatorcontrib>Nagayama, Hitomi</creatorcontrib><creatorcontrib>Masunaga, Atsuko</creatorcontrib><creatorcontrib>Tojo, Arinobu</creatorcontrib><creatorcontrib>Tani, Kenzaburo</creatorcontrib><creatorcontrib>Asano, Shigetaka</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of hematology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tomonari, Akira</au><au>Shirafuji, Naoki</au><au>Iseki, Tohru</au><au>Ooi, Jun</au><au>Nagayama, Hitomi</au><au>Masunaga, Atsuko</au><au>Tojo, Arinobu</au><au>Tani, Kenzaburo</au><au>Asano, Shigetaka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acquired pulmonary alveolar proteinosis after umbilical cord blood transplantation for acute myeloid leukemia</atitle><jtitle>American journal of hematology</jtitle><addtitle>Am J Hematol</addtitle><date>2002-06</date><risdate>2002</risdate><volume>70</volume><issue>2</issue><spage>154</spage><epage>157</epage><pages>154-157</pages><issn>0361-8609</issn><eissn>1096-8652</eissn><coden>AJHEDD</coden><abstract>Pulmonary alveolar proteinosis (PAP) is a heterogeneous disease that occasionally develops with hematological malignancy. 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subjects Acute Disease
acute myeloid leukemia
Biological and medical sciences
Bone Marrow Cells - pathology
cord blood transplantation
Fatal Outcome
Female
Heart Failure - etiology
Hematologic and hematopoietic diseases
Hematopoietic Stem Cell Transplantation - adverse effects
Humans
Karyotyping
Leukemia, Myeloid, Acute - therapy
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Medical sciences
Middle Aged
Multiple Organ Failure - etiology
Pneumology
pulmonary alveolar proteinosis
Pulmonary Alveolar Proteinosis - etiology
Respiratory system : syndromes and miscellaneous diseases
title Acquired pulmonary alveolar proteinosis after umbilical cord blood transplantation for acute myeloid leukemia
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