Abstract
We describe a patient with multiple myeloma and respiratory insufficiency. Autopsy revealed accumulation of IgG-kappa paraprotein in the alveolar space. The clinical and pathological presentation are typical for secondary pulmonary alveolar proteinosis. Attention is focussed on the possibility of secondary pulmonary alveolar proteinosis as a cause for dyspnoea in patients with haematological malignancies.
MeSH terms
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Female
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Humans
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Immunoglobulin G / metabolism
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Middle Aged
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Multiple Myeloma / complications
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Multiple Myeloma / metabolism
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Multiple Myeloma / pathology*
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Paraproteins / immunology
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Paraproteins / metabolism*
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Pulmonary Alveolar Proteinosis / complications
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Pulmonary Alveolar Proteinosis / metabolism
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Pulmonary Alveolar Proteinosis / pathology*
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Pulmonary Alveoli / immunology
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Pulmonary Alveoli / metabolism
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Pulmonary Alveoli / pathology
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Respiratory Insufficiency / etiology
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Respiratory Insufficiency / metabolism
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Respiratory Insufficiency / pathology*
Substances
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Immunoglobulin G
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Paraproteins