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- Cong Li, Huishan Zhang, Jiali Mo, Yanqiong Wang, Danyu Song, Penghui Wu, Yan Xiong, Jianxing Qiu, Guangfa Wang, and Leping Ye.
- Department of Pediatrics, Peking University First Hospital, Beijing, China.
- Chest. 2022 May 1; 161 (5): e273-e278.
Case PresentationAn 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).Copyright © 2021 The Author(s). Published by Elsevier Inc. All rights reserved.
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