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Hermansky-Pudlak Syndrome

Imaging findings

CT chest in a patient with oculocutaneous albinism shows progressive, diffuse ground-glass opacities, septal thickening, and peripheral traction bronchiectasis with subpleural sparing, consistent with pulmonary fibrosis.

Key takeaways

Hermansky-Pudlak syndrome is a rare autosomal recessive lysosomal storage disorder characterized by oculocutaneous albinism, platelet dysfunction, and progressive pulmonary fibrosis. The fibrosis is driven by dysfunction of type II pneumocytes containing giant lamellar bodies, presenting as a fibrotic interstitial lung disease pattern in young adults.

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