RESUMO
Histologic findings from segmental lavage material via the fiberoptic bronchoscope were evaluated as a means of diagnosing pulmonary alveolar proteinosis. Active cases of alveolar proteinosis yielded grossly opaque and/or milky effluents. The unique histologic findings in alveolar proteinosis included: (1) very few alveolar macrophages (2) large acellular eosinophilic bodies in a diffuse background of eosinophilic granules, and (3) periodic acid-Schiff staining of the proteinaceous material with a lack of significant alcian blue staining. Thus, the diagnosis of pulmonary alveolar proteinosis can be made by evaluation of the clinical setting and histologic findings of the effluent material from a segmental lavage.
Assuntos
Pulmão/patologia , Proteinose Alveolar Pulmonar/diagnóstico , Irrigação Terapêutica , Broncoscopia , Tecnologia de Fibra Óptica , Humanos , Proteinose Alveolar Pulmonar/patologia , Remissão EspontâneaAssuntos
Pneumopatias Obstrutivas/complicações , Testes de Função Respiratória , Deficiência de alfa 1-Antitripsina , Feminino , Volume Expiratório Forçado , Humanos , Pneumopatias Obstrutivas/diagnóstico , Pneumopatias Obstrutivas/genética , Masculino , Fluxo Máximo Médio Expiratório , Fenótipo , Risco , Fumar , Capacidade VitalRESUMO
Because of the lack of a source listing comprehensive literature for individual specialties, a thorough search was made of the available monographs and journals of value to both the respiratory therapist and the chest physical therapist. The items reviewed included three published lists of recommended books and journals, reference tools listing books currently in print, National Library of Medicine computerized literature searches of the data bases CATLINE and SERLINE, sources of forthcoming books, and an abstracting service that lists books currently being published. This list would be of value to the interested individual or library wishing to build a literature collection on respiratory and chest physical therapy.
