Evidence map›Paper›PMID 41551542›Full record

ArticleRespirology case reports2026

A Rare Case of Pulmonary Alveolar Proteinosis Superimposed by Severe COVID-19 Pneumonia: Case Report.

Zeinab El Mawla, Jida Al Mulki, Mahmoud Hassoun

Abstract read
In one paragraph

Article in Respirology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Zeinab El MawlaDepartment of Pulmonary & Critical Care, Faculty of Medical Sciences Lebanese University Hadat Lebanon.ORCID https://orcid.org/0000-0001-6418-7132
Jida Al MulkiDepartment of Epidemiology and Population Health American University of Beirut Beirut Lebanon.ORCID https://orcid.org/0000-0003-4369-7795
Mahmoud HassounDepartment of Pulmonary & Critical Care Rafik Hariri University Hospital Beirut Lebanon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COVID-19 pneumonia is a strong radiological mimicker of pulmonary alveolar proteinosis (PAP), making their differentiation difficult. PAP is a rare diffuse lung disease caused by the accumulation of surfactant lipoproteins within the alveoli, resulting in impaired gas exchange and respiratory failure, with an estimated prevalence of 3.7-6.2 cases per million. This report presents a rare case of PAP complicated by COVID-19 pneumonia in a 42-year-old man who presented with chills, fatigue, dyspnea and fever. Clinical, laboratory and radiological features were thoroughly assessed. High-resolution CT revealed a crazy-paving pattern with patchy consolidations, diffuse ground-glass opacities and septal thickening. Early recognition of lung diseases with overlapping imaging features is essential to guide management and prevent adverse outcomes. The coexistence of PAP and COVID-19 was associated with rapid clinical deterioration and poor prognosis. Further studies are needed to clarify underlying mechanisms and optimise treatment strategies.

Indexed as

abnormal surfactant homeostasiscomputed tomographyCOVID‐19immunosuppressioninterstitial lung diseasepulmonary alveolar proteinosisrituximab

Identifiers

PMID41551542
PMCPMC12807524

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.