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Hermansky Pudlak Syndrome and Pulmonary Alveolar Proteinosis at the same patient: first case report in the world literature.
[oculocutaneous albinism]
Hermansky-
Pudlak
Syndrome
(
HPS
)
is
a
rare
autosomal
recessive
disorder
presenting
with
oculocutaneous
albinism
,
bleeding
diathesis
and
lysosomal
accumulation
of
ceroid
lipofuscin
which
leads
to
interstitial
fibrosis
in
lung
.
Pulmonary
fibrosis
which
is
usually
associated
with
HPS
-
1
and
HPS
-
4
subtypes
usually
manifests
in
the
third
/
fourth
decades
of
life
representing
with
giant
lamellar
bodies
of
alveolar
type
-
II
-cells
and
their
apparent
degeneration
causes
restrictive
lung
disease
.
Pulmonary
manifestation
of
this
syndrome
may
lead
to
premature
death
.
Pulmonary
Alveolar
Proteinosis
(
PAP
)
is
another
rare
disease
characterized
by
alveolar
deposition
of
surfactant
phospholipids
and
proteins
secondary
to
defective
clearance
by
alveolar
macrophages
.
PAP
may
occur
as
autoimmune
diseases
and
/
or
secondary
to
toxic
inhalation
,
systemic
infections
or
hematological
disorders
.
None
of
the
cases
were
reported
secondary
to
HPS
according
to
the
best
our
knowledge
.
As
well
,
pulmonary
involvement
of
HPS
was
never
reported
as
PAP
.
We
report
the
first
case
of
PAP
in
a
patient
with
HPS
.
Diseases
Validation
Diseases presenting
"pulmonary fibrosis"
symptom
erdheim-chester disease
lymphangioleiomyomatosis
oculocutaneous albinism
pyomyositis
This symptom has already been validated