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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 330:1599-1606 June 2, 1994 Number 22
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Case 22-1994— A 57-Year-Old Man with a Chronic Productive Cough, Dyspnea, and Extensive Bilateral Air-Space Disease
Dennis J. Beer, and Eugene J. Mark

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Presentation of Case

A 57-year-old man was referred to the hospital because of extensive bilateral air-space disease and a lung-biopsy specimen that showed alveolar filling, interpreted as pulmonary alveolar proteinosis.

The patient had been in excellent heath until four months earlier, when fever, myalgia, and a dry cough developed. Two and a half months before entry he began to experience increasing exertional dyspnea while playing tennis.

Two weeks later, the cough increased and became productive of thick green sputum. X-ray films of the chest showed "extensive cannon-ball-type lesions" throughout both lungs, with diffuse infiltrates. Erythromycin was taken for several weeks. The sputum became . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Dennis J. Beer's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Addendum

References




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