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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
Differential Diagnosis
Clinical Diagnosis
Dr. Dennis J. Beer's Diagnosis
Pathological Discussion
Anatomical Diagnosis
Addendum
References
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