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Buscar doenças, sintomas, genes...
Proteinose alveolar pulmonar autoimune
ORPHA:747CID-10 · J84.0CID-11 · CB04.31OMIM 610910DOENÇA RARA

A Proteinose Alveolar Pulmonar (PAP) é uma doença rara do pulmão, caracterizada pelo acúmulo de uma substância gordurosa e proteica nas pequenas bolsas de ar mais profundas dos pulmões, que reage positivamente a um teste de coloração chamado ácido periódico de Schiff (PAS).

Mantido por Agente Raras·Colaborar como especialista →

Introdução

O que você precisa saber de cara

📋

A Proteinose Alveolar Pulmonar (PAP) é uma doença rara do pulmão, caracterizada pelo acúmulo de uma substância gordurosa e proteica nas pequenas bolsas de ar mais profundas dos pulmões, que reage positivamente a um teste de coloração chamado ácido periódico de Schiff (PAS).

Pesquisas ativas
4 ensaios
16 total registrados no ClinicalTrials.gov
Publicações científicas
188 artigos
Último publicado: 2026 Apr

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
1-9 / 1 000 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
2.66
Japan
Início
Adolescent
+ adult, childhood
🏥
SUS: Sem cobertura SUSScore: 0%
CID-10: J84.0
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Entender a doença

Do básico ao detalhe, leia no seu ritmo

Preparando trilha educativa...

Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🫁
Pulmão
7 sintomas
😀
Face
1 sintomas
📏
Crescimento
1 sintomas
🛡️
Imunológico
1 sintomas
🧠
Neurológico
1 sintomas
🫃
Digestivo
1 sintomas

+ 16 sintomas em outras categorias

Características mais comuns

100%prev.
Defeito ventilatório restritivo
Frequente (79-30%)
100%prev.
Hipoxemia
Frequente (79-30%)
100%prev.
Positividade do anticorpo anti-fator estimulador de colônias de granulócitos-macrófagos
Frequência: 12/12
90%prev.
Acúmulo intra-alveolar de fosfolipídios
Muito frequente (99-80%)
55%prev.
Dispneia
Frequente (79-30%)
55%prev.
Cianose
Frequente (79-30%)
28sintomas
Muito frequente (4)
Frequente (8)
Ocasional (5)
Muito raro (6)
Sem dados (5)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 28 características clínicas mais associadas, ordenadas por frequência.

Defeito ventilatório restritivoRestrictive ventilatory defect
Frequente (79-30%)100%
HipoxemiaHypoxemia
Frequente (79-30%)100%
Positividade do anticorpo anti-fator estimulador de colônias de granulócitos-macrófagosAnti-granulocyte-macrophage colony stimulating factor antibody positivity
Frequência: 12/12100%
Acúmulo intra-alveolar de fosfolipídiosIntraalveolar phospholipid accumulation
Muito frequente (99-80%)90%
DispneiaDyspnea
Frequente (79-30%)55%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico188PubMed
Últimos 10 anos158publicações
Pico202528 papers
Linha do tempo
2026Hoje · 2026🧪 2009Primeiro ensaio clínico📈 2025Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

1 gene identificado com associação a esta condição. Padrão de herança: Multigenic/multifactorial, Not applicable.

HLA-DRB1HLA class II histocompatibility antigen, DRB1 beta chainMajor susceptibility factor inRestrito
FUNÇÃO

A beta chain of antigen-presenting major histocompatibility complex class II (MHCII) molecule. In complex with the alpha chain HLA-DRA, displays antigenic peptides on professional antigen presenting cells (APCs) for recognition by alpha-beta T cell receptor (TCR) on HLA-DRB1-restricted CD4-positive T cells. This guides antigen-specific T-helper effector functions, both antibody-mediated immune response and macrophage activation, to ultimately eliminate the infectious agents and transformed cells

LOCALIZAÇÃO

Cell membraneEndoplasmic reticulum membraneLysosome membraneLate endosome membraneAutolysosome membrane

VIAS BIOLÓGICAS (7)
Generation of second messenger moleculesTranslocation of ZAP-70 to Immunological synapsePhosphorylation of CD3 and TCR zeta chainsCo-inhibition by PD-1Downstream TCR signaling
EXPRESSÃO TECIDUAL(Ubíquo)
Linfócitos
1832.6 TPM
Pulmão
1234.8 TPM
Baço
990.6 TPM
Intestino delgado
607.2 TPM
Nervo tibial
598.3 TPM
OUTRAS DOENÇAS (16)
narcolepsy-cataplexy syndromefollicular lymphomaVogt-Koyanagi-Harada diseasepediatric multiple sclerosis
HGNC:4948UniProt:P01911

Variantes genéticas (ClinVar)

28 variantes patogênicas registradas no ClinVar.

🧬 HLA-DRB1: NM_002124.4(HLA-DRB1):c.100+212A>G ()
🧬 HLA-DRB1: NM_002124.4(HLA-DRB1):c.100+1G>A ()
🧬 HLA-DRB1: NM_002124.4(HLA-DRB1):c.100+6T>A ()
🧬 HLA-DRB1: NM_002124.4(HLA-DRB1):c.100+6T>C ()
🧬 HLA-DRB1: NM_002124.4(HLA-DRB1):c.100+15C>T ()
Ver todas no ClinVar

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

Carregando...

Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
3Fase 33
2Fase 27
1Fase 13
·Pré-clínico3
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 16 ensaios
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Proteinose alveolar pulmonar autoimune

🗺️

Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

🟢 Recrutando agora

1 pesquisa recrutando participantes. Converse com seu médico sobre a possibilidade de participar.

Outros ensaios clínicos

16 ensaios clínicos encontrados, 4 ativos.

Distribuição por fase
Ver todos no ClinicalTrials.gov
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Publicações mais relevantes

📖Melhor nível de evidência: Revisão
Timeline de publicações
160 papers (10 anos)
#1

Lipid nanoparticle GM-CSF replacement for autoimmune pulmonary alveolar proteinosis.

Proceedings of the National Academy of Sciences of the United States of America2026 Feb 17

Granulocyte-macrophage colony-stimulating factor (GM-CSF) deficiency drives autoimmune pulmonary alveolar proteinosis (aPAP), a disease characterized by impaired macrophage-mediated clearance of pulmonary surfactants. Clinical data suggest that inhaled recombinant GM-CSF reduces symptoms in aPAP patients, providing a rationale for mRNA-based GM-CSF replacement therapies. However, these require effective mRNA delivery after nebulization. Here, we report the iterative in vivo design of a lipid nanoparticle, named nebulized lung delivery 2 (NLD2), that efficiently delivers mRNA after nebulization. NLD2 carrying GM-CSF mRNA transfected alveolar macrophages in vivo, leading to interleukin-10 pathway activation and subsequent surfactant lipoprotein clearance. In a preclinical disease model of aPAP, GM-CSF mRNA delivery reduced surfactant protein thickness more than recombinant GM-CSF. These data support continued exploration of nebulized lipid nanoparticle therapies for aPAP.

#2

A long-term observational study on autoimmune pulmonary alveolar proteinosis revealed a sustained and generalized decrease in serum autoantibody levels.

Orphanet journal of rare diseases2026 Mar 11
#3

Timing of Whole Lung Lavage in Autoimmune Pulmonary Alveolar Proteinosis with Concurrent Opportunistic Infection: A Case Report and Systematic Review.

Infection and drug resistance2026

Autoimmune pulmonary alveolar proteinosis (aPAP) is a rare lung disorder characterized by abnormal accumulation of surfactant in the alveoli, often leading to progressive respiratory failure. While whole lung lavage (WLL) remains the standard therapeutic intervention, its timing and safety in the context of active infection remain a critical clinical dilemma. We present a fatal case of a 42-year-old Tibetan female with aPAP and progressive respiratory failure requiring V-V ECMO. Critically, serological tests were negative, but targeted next-generation sequencing (tNGS) of bronchoalveolar lavage fluid revealed a dominant mixed opportunistic infection (Cryptococcus neoformans: 3,877 reads; Enterococcus faecium: 118,062 reads). Despite this finding, the patient underwent emergent WLL and subsequently succumbed to the uncontrolled infection. To contextualize our findings, we conducted a systematic literature search in PubMed and Embase from their inception to November 21, 2025, which identified 27 relevant case reports and series. This review demonstrated that the majority of WLL procedures were performed after the active infection was controlled or had resolved following the initiation of antimicrobial therapy. The outcome was generally favorable, with clinical improvement reported in 23 cases (85.2%). This fatal aPAP case suggests a staged management approach whereby WLL should be deferred until infection control is achieved. Early tNGS-guided pathogen identification appears crucial for directing antimicrobial therapy. This target-then-lavage strategy merits further validation but offers a prudent framework for managing these high-risk patients.

#4

Clinical characterization of 39 patients with autoimmune pulmonary alveolar proteinosis.

The Journal of international medical research2026 Mar

ObjectivesWe aimed to explore the clinical manifestations, examination findings, diagnostic methods, and treatment efficacy of patients with pulmonary alveolar proteinosis and improve clinicians' understanding of this disease.MethodsWe retrospectively analyzed the clinical characteristics of 39 patients diagnosed with autoimmune pulmonary alveolar proteinosis admitted to Fuzhou Pulmonary Hospital, Fujian Province, from August 2013 to December 2024. We also analyzed the correlations between lactate dehydrogenase, arterial partial oxygen pressure, and pulmonary alveolar arterial oxygen differential pressure, lung function, tumor markers, blood lipids, and disease severity. Furthermore, the relevant literature was reviewed.ResultsOf the 39 patients, 23 were male, 16 were female, 18 were smokers, and 11 had pneumoconiosis. The main clinical symptoms were cough and shortness of breath. The typical manifestations of chest computed tomography were "map-like" changes or "crazy-paving pattern". The main manifestations of pulmonary function were diffusion dysfunction and restricted ventilation dysfunction. pulmonary alveolar proteinosis disease severity score was positively correlated with lactate dehydrogenase, pulmonary alveolar arterial oxygen differential pressure and the tumor markers carcinoembryonic antigen, cytokeratin 19 fragment antigen 21-1, neuron specific enolase, and carbohydrate antigen 153 (r = 0.689, P < 0.01; r = 0.801, P < 0.01; r = 0.414, P < 0.05; r = 0.570, P < 0.01; r = 0.488, P < 0.01; and r = 0.415, P < 0.05, respectively). The disease severity score was negatively correlated with the percentage of arterial partial oxygen pressure and carbon monoxide dispersion to the predicted value (r = -0.952, r = -0.554, P < 0.01). Lactate dehydrogenase was negatively correlated with carbon monoxide dispersion to the predicted value (r = -0.522, P < 0.01). Arterial partial oxygen pressure was negatively correlated with carcinoembryonic antigen, cytokeratin 19 fragment antigen 21-1, neuron specific enolase, and carbohydrate antigen 153 (r = -0.479, r = -0.607, r = -0.598, and r = -0.425, respectively, P < 0.01). In contrast, arterial partial oxygen pressure was positively correlated with carbon monoxide dispersion to the predicted value (r = 0.616, P < 0.01). pulmonary alveolar arterial oxygen differential pressure was positively correlated with carcinoembryonic antigen, cytokeratin 19 fragment antigen 21-1, neuron specific enolase, and carbohydrate antigen 153 (r = 0.529, P < 0.01; r = 0.546, P < 0.01; r = 0.554, P < 0.01; and r = 0.348, P < 0.05, respectively). Pulmonary alveolar arterial oxygen differential pressure was negatively correlated with carbon monoxide dispersion to the predicted value (r = -0.641, P < 0.01).ConclusionPulmonary alveolar proteinosis is a rare diffuse lung disease without specific clinical manifestations. Whole lung high-volume alveolar lavage is the most effective treatment for pulmonary alveolar proteinosis. Arterial partial oxygen pressure, pulmonary alveolar arterial oxygen differential pressure, lactate dehydrogenase, tumor markers, and carbon monoxide dispersion to the predicted value were correlated with the severity of pulmonary alveolar proteinosis.

#5

A Case of Autoimmune Pulmonary Alveolar Proteinosis.

Clinical case reports2026 Feb

Chemotherapeutic agents or regular doses of Rituximab may represent a potential therapeutic option for refractory cases of autoimmune pulmonary alveolar proteinosis.

Publicações recentes

Ver todas no PubMed

📚 EuropePMC144 artigos no totalmostrando 154

2026

Timing of Whole Lung Lavage in Autoimmune Pulmonary Alveolar Proteinosis with Concurrent Opportunistic Infection: A Case Report and Systematic Review.

Infection and drug resistance
2026

A long-term observational study on autoimmune pulmonary alveolar proteinosis revealed a sustained and generalized decrease in serum autoantibody levels.

Orphanet journal of rare diseases
2026

Clinical characterization of 39 patients with autoimmune pulmonary alveolar proteinosis.

The Journal of international medical research
2026

Efficacy of recombinant human GM-CSF compared to placebo for autoimmune pulmonary alveolar proteinosis: a systematic review and meta-analysis.

BMC pulmonary medicine
2026

Rare case of autoimmune pulmonary alveolar proteinosis with ANCA positivity.

BMC pulmonary medicine
2026

A Case of Autoimmune Pulmonary Alveolar Proteinosis.

Clinical case reports
2026

Significant but Temporary Efficacy of Statin for a Patient With Severe Autoimmune Pulmonary Alveolar Proteinosis: A Case Report.

Respirology case reports
2026

Lipid nanoparticle GM-CSF replacement for autoimmune pulmonary alveolar proteinosis.

Proceedings of the National Academy of Sciences of the United States of America
2026

Extracellular DNA in bronchoalveolar lavage fluid as a candidate biomarker of disease severity in autoimmune pulmonary alveolar proteinosis.

Respiratory investigation
2025

Autoimmune Pulmonary Alveolar Proteinosis Triggered by Salazosulfapyridine in a Patient With Rheumatoid Arthritis: A Case Report.

Cureus
2026

A New, Rapid Way to Test for Autoimmune Pulmonary Alveolar Proteinosis.

Respirology (Carlton, Vic.)
2025

Autoimmune Pulmonary Alveolar Proteinosis.

Seminars in respiratory and critical care medicine
2026

Rapid Serological Detection of Anti-GM-CSF Autoantibodies in Autoimmune Pulmonary Alveolar Proteinosis Using a Novel Immunochromatographic Test.

Respirology (Carlton, Vic.)
2025

Recombinant GM-CSF drug evaluation review.

Immunotherapy
2025

A Rare Case of Pulmonary Alveolar Proteinosis.

Cureus
2025

Serial Anti-GM-CSF Autoantibody Levels Reflect Disease Activity in Hypersensitivity Pneumonitis with Autoimmune Pulmonary Alveolar Proteinosis: Case Report.

Pathophysiology : the official journal of the International Society for Pathophysiology
2025

Pharmacokinetics and pharmacodynamics of inhaled molgramostim in healthy people.

BMJ open respiratory research
2025

Turbidity of whole lung lavage fluid in patients with autoimmune pulmonary alveolar proteinosis: Association between turbidity and pulmonary function.

Respiratory investigation
2025

Hyaluronan in the pathogenesis of lung fibrosis associated to autoimmune pulmonary alveolar proteinosis (aPAP).

Frontiers in medicine
2025

Pharmacotherapy for Autoimmune Pulmonary Alveolar Proteinosis.

Drugs
2025

GM-CSF in Autoimmune Pulmonary Alveolar Proteinosis.

The New England journal of medicine
2025

Phase 3 Trial of Inhaled Molgramostim in Autoimmune Pulmonary Alveolar Proteinosis.

The New England journal of medicine
2025

Dyspnea and Deception: Overcoming Diagnostic Hurdles in Pulmonary Alveolar Proteinosis.

Cureus
2025

The Novel Use of Daratumumab in the Treatment of Refractory Autoimmune Pulmonary Alveolar Proteinosis.

Respirology case reports
2025

Corrigendum: Exogenous GM-CSF therapy for autoimmune pulmonary alveolar proteinosis: a systematic literature review.

Frontiers in medicine
2025

Spontaneous Resolution in Autoimmune Pulmonary Alveolar Proteinosis: A Case Series.

Chest
2025

Exogenous GM-CSF therapy for autoimmune pulmonary alveolar proteinosis: a systematic literature review.

Frontiers in medicine
2025

A Rare Case of Autoimmune Pulmonary Alveolar Proteinosis Developing During the Course of Eosinophilic Granulomatosis With Polyangiitis.

Respirology case reports
2025

A New Era in the Treatment of Autoimmune Pulmonary Alveolar Proteinosis.

Respirology (Carlton, Vic.)
2025

Anti-GM-CSF autoantibodies in myeloid leukemias.

Best practice &amp; research. Clinical haematology
2025

Therapeutic Whole Lung Lavage for Pulmonary Alveolar Proteinosis: Technique With Continuous Video-Enabled Double Lumen Endotracheal Tube.

Respirology case reports
2025

Autoimmune Pulmonary Alveolar Proteinosis: A Rare Diagnosis in Pediatric Age.

Journal of investigative medicine high impact case reports
2025

Position-Dependent Lung Shadow Movement.

Respirology case reports
2025

A patient journey map for people living with autoimmune pulmonary alveolar proteinosis.

Respiratory medicine
2025

Long-term outcomes in five patients with autoimmune pulmonary alveolar proteinosis treated with molgramostim inhalation solution.

ERJ open research
2025

Autoimmune pulmonary alveolar proteinosis developed during treatment for systemic sclerosis: a case report.

BMC pulmonary medicine
2025

Successful granulocyte-macrophage colony-stimulating factor inhalation therapy for recurrent autoimmune pulmonary alveolar proteinosis after lung transplantation: A case report.

Respiratory investigation
2024

Rituximab Therapy in Pulmonary Alveolar Proteinosis: A Case Report.

Cureus
2024

Pulmonary fibrosis in patients with autoimmune pulmonary alveolar proteinosis: a retrospective nationwide cohort study.

ERJ open research
2024

Silicosis complicated with autoimmune pulmonary alveolar proteinosis caused by long-term dust inhalation during construction of bridge pier columns: A case report.

Heliyon
2025

Severity and prognosis of COVID-19 complicated by autoimmune pulmonary alveolar proteinosis.

Respiratory investigation
2024

Pulmonary hypertension during high-dose GM-CSF therapy of autoimmune pulmonary alveolar proteinosis.

Pulmonary circulation
2024

Whole Lung Lavage in Autoimmune Pulmonary Alveolar Proteinosis: Unique Challenges in a Resource-Limited Setting.

Clinical case reports
2024

Repeated inhalation of GM-CSF by nonhuman primates induces bronchus-associated lymphoid tissue along the lower respiratory tract.

Respiratory research
2024

Autoimmune pulmonary alveolar proteinosis presenting as localized multifocal GGOs: A case report.

Radiology case reports
2024

Inhaled molgramostim therapy for the treatment of autoimmune pulmonary alveolar proteinosis (aPAP): a plain language summary of the IMPALA trial.

Hospital practice (1995)
2024

Nocardia Infection in Patients With Anti-Granulocyte-Macrophage Colony-Stimulating Factor Autoantibodies: A Prospective Multicenter French Study.

Open forum infectious diseases
2024

Autoimmune pulmonary alveolar proteinosis during the treatment of nonspecific interstitial pneumonia complicated by clinically amyopathic dermatomyositis: A case report.

Respirology case reports
2024

A case of autoimmune pulmonary alveolar proteinosis responding to oral statin therapy.

Respiratory medicine case reports
2024

Cytokine profiles associated with disease severity and prognosis of autoimmune pulmonary alveolar proteinosis.

Respiratory investigation
2024

A case of autoimmune pulmonary alveolar proteinosis during the course of treatment of rapidly progressive interstitial pneumonia associated with anti-MDA5 antibody-positive dermatomyositis.

BMC pulmonary medicine
2024

A Case of Autoimmune Pulmonary Alveolar Proteinosis With Predominantly Peripheral Opacities Diagnosed by Transbronchial Lung Biopsy.

Cureus
2024

Optical Biopsies Using Probe-Based Confocal Laser Endomicroscopy for Autoimmune Pulmonary Alveolar Proteinosis.

Respiration; international review of thoracic diseases
2024

Disseminated nocardiosis and anti-GM-CSF antibodies.

European journal of clinical microbiology &amp; infectious diseases : official publication of the European Society of Clinical Microbiology
2024

Will inhalational GM-CSF replace whole lung lavage as a treatment for autoimmune pulmonary alveolar proteinosis? Many pole positions, not yet the final winner.

The European respiratory journal
2023

Coexistence of Autoimmune Pulmonary Alveolar Proteinosis With Small Cell Lung Cancer in a Man Presenting With Acute Onset Respiratory Failure.

Cureus
2023

Nebulised granulocyte-macrophage colony-stimulating factor (GM-CSF) in autoimmune pulmonary alveolar proteinosis: a systematic review and meta-analysis.

European respiratory review : an official journal of the European Respiratory Society
2024

Inhaled recombinant GM-CSF reduces the need for whole lung lavage and improves gas exchange in autoimmune pulmonary alveolar proteinosis patients.

The European respiratory journal
2023

Effects of COVID-19 infection in patients with autoimmune pulmonary alveolar proteinosis: a single-center study.

Orphanet journal of rare diseases
2023

Altered macrophage phenotypes in a case of autoimmune pulmonary alveolar proteinosis.

ERJ open research
2024

Autoimmune Pulmonary Alveolar Proteinosis Complicated by Myelodysplastic Syndrome.

Internal medicine (Tokyo, Japan)
2023

Infections in autoimmune pulmonary alveolar proteinosis: a large retrospective cohort.

Thorax
2023

Opportunistic infections in autoimmune pulmonary alveolar proteinosis: opportunity to better understand the role of GM-CSF in the innate immune response.

Thorax
2023

Functional autoantibodies: Definition, mechanisms, origin and contributions to autoimmune and non-autoimmune disorders.

Autoimmunity reviews
2023

A case of development of autoimmune pulmonary alveolar proteinosis during the treatment of hypersensitivity pneumonitis.

Respiratory medicine case reports
2023

Autoimmune Pulmonary Alveolar Proteinosis That Improved after a COVID-19 Episode.

Internal medicine (Tokyo, Japan)
2023

Case Report: Autoimmune Pulmonary Alveolar Proteinosis after COVID-19: A Report of Two Cases.

The American journal of tropical medicine and hygiene
2023

Nationwide survey of adult patients with pulmonary alveolar proteinosis using the National Database of designated intractable diseases of Japan.

Respiratory investigation
2023

A case report of Covid-19 in an autoimmune pulmonary alveolar proteinosis: An association in tune with the times!

Respiratory medicine case reports
2023

Updated severity and prognosis score of pulmonary alveolar proteinosis: A multi-center cohort study in China.

Frontiers in medicine
2022

Recombinant GM-CSF for diseases of GM-CSF insufficiency: Correcting dysfunctional mononuclear phagocyte disorders.

Frontiers in immunology
2022

Autoimmune pulmonary alveolar proteinosis and sarcoidosis in the same patient: Case report and systematic review.

Lung India : official organ of Indian Chest Society
2023

Quantitative Evaluation of Changes in Three-Dimensional CT Density Distributions in Pulmonary Alveolar Proteinosis after GM-CSF Inhalation.

Respiration; international review of thoracic diseases
2022

Aspergillus Nodule in a Patient With Autoimmune Pulmonary Alveolar Proteinosis.

Cureus
2023

Upper Lobe-predominant Autoimmune Pulmonary Alveolar Proteinosis.

Internal medicine (Tokyo, Japan)
2022

A dried blood spot test for diagnosis of autoimmune pulmonary alveolar proteinosis.

Journal of immunological methods
2022

[Consensus statement on inhaled recombinant human granulocyte-macrophage colony-stimulating factor for autoimmune pulmonary alveolar proteinosis (2022)].

Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases
2023

Autoimmune Pulmonary Alveolar Proteinosis with Suspected Exacerbation after Osimertinib Administration for Lung Cancer.

Internal medicine (Tokyo, Japan)
2023

Autoimmune Pulmonary Alveolar Proteinosis during the Treatment of Idiopathic Inflammatory Myopathy.

Internal medicine (Tokyo, Japan)
2022

A case of autoimmune pulmonary alveolar proteinosis with severe respiratory failure treated with segmental lung lavage and oral statin therapy.

Respiratory medicine case reports
2022

An exploratory study investigating biomarkers associated with autoimmune pulmonary alveolar proteinosis (aPAP).

Scientific reports
2022

Autoimmune pulmonary alveolar proteinosis with features similar to nonspecific interstitial pneumonia.

Respiratory medicine case reports
2022

Opportunistic Infection Associated With Elevated GM-CSF Autoantibodies: A Case Series and Review of the Literature.

Open forum infectious diseases
2022

A Bibliometric Analysis of Pulmonary Alveolar Proteinosis From 2001 to 2021.

Frontiers in medicine
2022

Unilateral Autoimmune Pulmonary Alveolar Proteinosis with Polymyositis-related Interstitial Lung Disease.

Internal medicine (Tokyo, Japan)
2022

Autoimmune pulmonary alveolar proteinosis exacerbated by steroid therapy due to misdiagnosis as anti-aminoacyl-tRNA synthetase (ARS) antibody positive- interstitial pneumonia: a case report.

BMC pulmonary medicine
2022

Autoimmune pulmonary alveolar proteinosis in children.

ERJ open research
2022

Rituximab rescue therapy for autoimmune pulmonary alveolar proteinosis.

Respiratory medicine case reports
2022

A mini-whole lung lavage to treat autoimmune pulmonary alveolar proteinosis (PAP).

Respiratory research
2022

[Segmental Bronchoalveolar Lavage Provided a Favorable Clinical Course in a Case of Autoimmune Pulmonary Alveolar Proteinosis].

Journal of UOEH
2022

CYFRA21-1 is a more sensitive biomarker to assess the severity of pulmonary alveolar proteinosis.

BMC pulmonary medicine
2022

Sirolimus-induced secondary pulmonary alveolar proteinosis.

Respiratory medicine case reports
2021

The Role of GM-CSF Autoantibodies in Infection and Autoimmune Pulmonary Alveolar Proteinosis: A Concise Review.

Frontiers in immunology
2021

Exacerbation of autoimmune pulmonary alveolar proteinosis that improved with lone treatment of complicating nontuberculous mycobacterial infection: A case report.

Respiratory medicine case reports
2021

Proteinaceous Lung With COVID-19: The Mimicker.

Cureus
2021

Autoimmune pulmonary alveolar proteinosis with a history of vaping and vitamin E-positive bronchoalveolar lavage.

Respirology case reports
2021

Sargramostim (rhu GM-CSF) as Cancer Therapy (Systematic Review) and An Immunomodulator. A Drug Before Its Time?

Frontiers in immunology
2021

Autoimmune pulmonary alveolar proteinosis: a discrepancy between symptoms and CT findings.

Lancet (London, England)
2021

Autoimmune pulmonary alveolar proteinosis successfully treated with lung lavage in an adolescent patient: a case report.

Journal of medical case reports
2021

Increased Efficacy of Whole Lung Lavage Treatment in Alveolar Proteinosis Using a New Modified Lavage Technique.

Journal of bronchology &amp; interventional pulmonology
2021

Autoimmune Pulmonary Alveolar Proteinosis: Evidence of the Pathogenicity of GM-CSF Antibodies.

American journal of respiratory and critical care medicine
2021

Expression profiles and potential functions of long noncoding RNAs and mRNAs in autoimmune pulmonary alveolar proteinosis patients.

Aging
2021

Autoimmune pulmonary alveolar proteinosis and idiopathic pulmonary haemosiderosis: a dual pathology.

BMJ case reports
2021

B cell-activating factors in autoimmune pulmonary alveolar proteinosis.

Orphanet journal of rare diseases
2021

Genetic determinants of risk in autoimmune pulmonary alveolar proteinosis.

Nature communications
2020

Clinical significance of serum anti-granulocyte-macrophage colony-stimulating factor autoantibodies in patients with sarcoidosis and hypersensitivity pneumonitis.

Orphanet journal of rare diseases
2020

Inhaled Molgramostim Therapy in Autoimmune Pulmonary Alveolar Proteinosis.

The New England journal of medicine
2020

Alveolar proteinosis due to toxic inhalation at workplace.

Respiratory medicine case reports
2020

Inhaled granulocyte-macrophage colony stimulating factor for mild-to-moderate autoimmune pulmonary alveolar proteinosis - a six month phase II randomized study with 24 months of follow-up.

Orphanet journal of rare diseases
2020

Autoimmune Pulmonary Alveolar Proteinosis Complicated with Sarcoidosis: the Clinical Course and Serum Levels of Anti-granulocyte-macrophage colony-stimulating Factor Autoantibody.

Internal medicine (Tokyo, Japan)
2020

Reduction in Alveolar Macrophage Size in Refractory Autoimmune Pulmonary Alveolar Proteinosis After Treatment With Pioglitazone.

Journal of bronchology &amp; interventional pulmonology
2020

Autoimmune pulmonary alveolar proteinosis mimicking Mycoplasma pneumonia in an adolescent.

Respiratory medicine case reports
2020

Autoimmune pulmonary alveolar proteinosis prior to myelodysplastic syndrome.

Respirology case reports
2020

A Case of Autoimmune Pulmonary Alveolar Proteinosis with Pulmonary Fibrosis and Asbestosis-Like Features.

The Kurume medical journal
2020

Autoimmune pulmonary alveolar proteinosis developed during immunosuppressive treatment in polymyositis with interstitial lung disease: a case report.

BMC pulmonary medicine
2020

Proteogenomic analysis of granulocyte macrophage colony- stimulating factor autoantibodies in the blood of a patient with autoimmune pulmonary alveolar proteinosis.

Scientific reports
2020

Natural Autoantibodies in Chronic Pulmonary Diseases.

International journal of molecular sciences
2020

Validation of a new serum granulocyte-macrophage colony-stimulating factor autoantibody testing kit.

ERJ open research
2019

Pulmonary alveolar proteinosis (PAP) in idiopathic hypoparathyroidism.

BMJ case reports
2019

Removal of lung lavage fluid during whole-lung lavage using biphasic cuirass ventilation chest percussion in a patient with autoimmune pulmonary alveolar proteinosis.

Lung India : official organ of Indian Chest Society
2019

Does maternal autoantibody that transfer to newborn cause disease?

Respirology case reports
2019

Inhaled GM-CSF for Pulmonary Alveolar Proteinosis.

The New England journal of medicine
2019

Memory B cell pool of autoimmune pulmonary alveolar proteinosis patients contains higher frequency of GM-CSF autoreactive B cells than healthy subjects.

Immunology letters
2019

Autoimmune pulmonary alveolar proteinosis in a patient with sarcoidosis.

Clinical case reports
2019

Autoimmune Pulmonary Alveolar Proteinosis Diagnosed after Exposure to a Fire Extinguisher Containing Silica Powder.

Internal medicine (Tokyo, Japan)
2019

Incidence of autoimmune pulmonary alveolar proteinosis estimated using Poisson distribution.

ERJ open research
2019

[Crazy Paving Pattern of the Lung].

Pneumologie (Stuttgart, Germany)
2019

Autoimmune pulmonary alveolar proteinosis presenting peripheral ground-glass opacities.

Respirology case reports
2018

Better approach for autoimmune pulmonary alveolar proteinosis treatment: inhaled or subcutaneous granulocyte-macrophage colony-stimulating factor: a meta-analyses.

Respiratory research
2018

Assay system development to measure the concentration of sargramostim with high specificity in patients with autoimmune pulmonary alveolar proteinosis after single-dose inhalation.

Journal of immunological methods
2018

Autoimmune pulmonary alveolar proteinosis in an adolescent successfully treated with inhaled rhGM-CSF (molgramostim).

Respiratory medicine case reports
2018

Pulmonary Alveolar Proteinosis with Ulcerative Colitis.

Internal medicine (Tokyo, Japan)
2018

Pulmonary alveolar proteinosis following cryptococcal meningitis: a possible cause?

BMJ case reports
2018

Peripheral alveolar nitric oxide concentration reflects alveolar inflammation in autoimmune pulmonary alveolar proteinosis.

ERJ open research
2018

Clinical significance of serum anti-GM-CSF autoantibody levels in autoimmune pulmonary alveolar proteinosis.

Biomarkers in medicine
2017

Elevated Serum Anti-GM-CSF Antibodies before the Onset of Autoimmune Pulmonary Alveolar Proteinosis in a Patient with Sarcoidosis and Systemic Sclerosis.

The Tohoku journal of experimental medicine
2017

Pathological features of explant lungs with fibrosis in autoimmune pulmonary alveolar proteinosis.

Respirology case reports
2017

Sequential Granulocyte-Macrophage Colony-Stimulating Factor Inhalation after Whole-Lung Lavage for Pulmonary Alveolar Proteinosis. A Report of Five Intractable Cases.

Annals of the American Thoracic Society
2017

Two cases of autoimmune pulmonary alveolar proteinosis with rheumatoid arthritis.

Allergology international : official journal of the Japanese Society of Allergology
2017

Classification of idiopathic interstitial pneumonias using anti-myxovirus resistance-protein 1 autoantibody.

Scientific reports
2017

A case of autoimmune pulmonary alveolar proteinosis with fluctuating lung shadows in parallel with cigarette smoke burden.

Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG
2017

Temporary remission of autoimmune pulmonary alveolar proteinosis after infectious episodes.

Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG
2016

Recurrence of pulmonary alveolar proteinosis after bilateral lung transplantation in a patient with a nonsense mutation in CSF2RB.

Respiratory medicine case reports
2016

Successful Treatment of Autoimmune Pulmonary Alveolar Proteinosis in a Pediatric Patient.

The American journal of case reports
2016

Increase in autoimmune pulmonary alveolar proteinosis after the 2011 Fukushima disaster.

Allergology international : official journal of the Japanese Society of Allergology
2015

Autoimmune Pulmonary Alveolar Proteinosis Following Pulmonary Aspergillosis.

Internal medicine (Tokyo, Japan)
2016

Cardiovascular risk in pulmonary alveolar proteinosis.

Expert review of respiratory medicine
2015

Whole Lung Lavage Treatment of Chinese Patients with Autoimmune Pulmonary Alveolar Proteinosis: A Retrospective Long-term Follow-up Study.

Chinese medical journal
2015

Outcome of corticosteroid administration in autoimmune pulmonary alveolar proteinosis: a retrospective cohort study.

BMC pulmonary medicine
2015

Localized Airspace Consolidation of Pulmonary Alveolar Proteinosis Mimicking Malignant Lesions in 18F-FDG PET/CT Imaging: One Case Report.

Clinical nuclear medicine
2015

Marked improvement in autoimmune pulmonary alveolar proteinosis with severe hypoxemia in a patient treated with ambroxol: a case report.

Journal of medical case reports
2015

Autoimmune pulmonary alveolar proteinosis with primary lung cancer in a patient of very advanced years.

Geriatrics &amp; gerontology international
2015

Pulmonary alveolar proteinosis: time to shift?

Expert review of respiratory medicine
2014

Characteristics of serum lipid metabolism in patients with autoimmune pulmonary alveolar proteinosis.

Zhongguo yi xue ke xue yuan xue bao. Acta Academiae Medicinae Sinicae

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Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Lipid nanoparticle GM-CSF replacement for autoimmune pulmonary alveolar proteinosis.
    Proceedings of the National Academy of Sciences of the United States of America· 2026· PMID 41671176mais citado
  2. A long-term observational study on autoimmune pulmonary alveolar proteinosis revealed a sustained and generalized decrease in serum autoantibody levels.
    Orphanet journal of rare diseases· 2026· PMID 41808122mais citado
  3. Timing of Whole Lung Lavage in Autoimmune Pulmonary Alveolar Proteinosis with Concurrent Opportunistic Infection: A Case Report and Systematic Review.
    Infection and drug resistance· 2026· PMID 41852848mais citado
  4. Clinical characterization of 39 patients with autoimmune pulmonary alveolar proteinosis.
    The Journal of international medical research· 2026· PMID 41795808mais citado
  5. A Case of Autoimmune Pulmonary Alveolar Proteinosis.
    Clinical case reports· 2026· PMID 41716453mais citado
  6. The burden of autoimmune pulmonary alveolar proteinosis: a systematic review.
    Eur Respir Rev· 2026· PMID 41951241recente
  7. Delayed Microbiological Diagnosis and Fluoroquinolone-Associated Tendon Rupture in Pulmonary Nocardiosis Complicating Autoimmune Pulmonary Alveolar Proteinosis: A Case Report.
    Cureus· 2026· PMID 41918656recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:747(Orphanet)
  2. OMIM OMIM:610910(OMIM)
  3. MONDO:0012579(MONDO)
  4. GARD:7499(GARD (NIH))
  5. Variantes catalogadas(ClinVar)
  6. Busca completa no PubMed(PubMed)
  7. Artigo Wikipedia(Wikipedia)
  8. Q448698(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Proteinose alveolar pulmonar autoimune
Compêndio · Raras BR

Proteinose alveolar pulmonar autoimune

ORPHA:747 · MONDO:0012579
Prevalência
1-9 / 1 000 000
Herança
Multigenic/multifactorial, Not applicable
CID-10
J84.0 · Afecções alveolares e parieto-alveolares
CID-11
Ensaios
4 ativos
Início
Adolescent, Adult, Childhood
Prevalência
2.66 (Japan)
MedGen
UMLS
C0034050
EuropePMC
Wikidata
Wikipedia
Papers 10a
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