Case Report

Rare Presentation of Pulmonary Alveolar Proteinosis Causing Acute Respiratory Failure

Table 1

Differential diagnosis of crazy paving on CT imaging, adapted from De Wever et al. [9].

Acute diseasesSubacute/chronic diseases

Pulmonary edemaUsual interstitial pneumonia
Infection (viral, bacterial, Pneumocystis jirovecii, and mycoplasma)Nonspecific interstitial pneumonia
Pulmonary hemorrhagePulmonary alveolar proteinosis
Acute interstitial pneumoniaOrganizing pneumonia
Acute respiratory distress syndromeVasculitis (Churg-Strauss syndrome)
Radiation pneumonitisEosinophilic pneumonia (chronic)
Eosinophilic pneumoniaMalignancy
Lymphangitic spread of malignancy
Sarcoidosis
Lipoid pneumonia
Alveolar microlithiasis
Barium aspiration