0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Pulmonary Edema Fluid Protein in High-Altitude Pulmonary Edema

Peter H. Hackett, MD; Jack Bertman, MD; Gil Rodriguez, MD; James Tenney, MD
JAMA. 1986;256(1):36. doi:10.1001/jama.1986.03380010040010.
Text Size: A A A
Published online

To the Editor.—  The ratio of edema fluid protein to serum protein is a measurement used to differentiate hydrostatic from permeability edema. Since it was demonstrated that highaltitude pulmonary edema (HAPE) is noncardiogenic,1,2 HAPE has been classified as a type of permeability edema. The only previous protein ratio reported in HAPE, however, was 0.6,3 which is between that expected for hydrostatic (<0.5) and permeability (>0.7) edemas.4 This measurement may have been flawed, since a tracheal specimen was used, which was probably diluted with other airway secretions. Recently, Schoene et al5,6 lavaged the lungs of persons with HAPE as well as controls and demonstrated a 60-fold higher total protein level in the HAPE lavage fluid. Because of the lavage technique, the dilution with normal saline precluded determination of the total protein ratio. We wish to report protein measurements of undiluted edema fluid from a patient with HAPE.

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();