de Arriba C, Antón C, Arreche E, Lorente M P
Servicio de Radiodiagnóstico, Hospital Virgen del Camino, Pamplona.
An Sist Sanit Navar. 2006 Jan-Apr;29(1):127-30. doi: 10.4321/s1137-66272006000100012.
We present a case of pulmonary alveolar proteinosis in a 27 year old male, in which high resolution computerised tomography shows a typical crazy paving pattern. This test led to a specific differential diagnosis, in spite of the lack of specificity in the clinical presentation. The bronchoalveolar wash was not conclusive and the definitive diagnosis was made with a transbronchial biopsy. We review the most characteristic aspects of this rare disease and of the crazy paving pattern in high resolution CT.
我们报告一例27岁男性的肺泡蛋白沉积症病例，其高分辨率计算机断层扫描显示出典型的“碎石路”样表现。尽管临床表现缺乏特异性，但该检查仍得出了明确的鉴别诊断。支气管肺泡灌洗结果不明确，最终通过经支气管活检确诊。我们回顾了这种罕见疾病以及高分辨率CT中“碎石路”样表现的最具特征性的方面。
