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Living with Autoimmune pulmonary alveolar proteinosis

A rare autoimmune lung disease in which a fatty-protein material builds up in the lung's air sacs, making breathing harder.

Understanding Autoimmune pulmonary alveolar proteinosis

Autoimmune pulmonary alveolar proteinosis (aPAP) is a rare autoimmune lung disorder in which surfactant builds up in the air sacs of the lungs.

It is the most common form (90 percent of cases) of pulmonary alveolar proteinosis. Some people have no symptoms, while others have progressive trouble breathing, especially with activity. It can begin from childhood to adulthood.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Trouble breathing
  • Shortness of breath with activity
  • Dry, long-lasting cough
  • Tiredness and weight loss
  • Chest pain
  • Low blood oxygen, with blue-tinged skin or clubbed fingertips in some

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include lung and breathing specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    The PAP Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Lung and breathing specialists (pulmonologists)
Expert care
Expert lists: The PAP Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with The PAP Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which tests confirm aPAP?
What treatments clear the buildup from my lungs?
How often should my breathing and oxygen be checked?

Quick facts

Symptoms usually startfrom Childhood to Adulthood

GARD says antibodies (IgG) block a protein called GM-CSF that helps clear surfactant from the lungs. Surfactant then piles up in the air sacs.

Respiratory

Also known as: apap; autoimmune pap; idiopathic pap; idiopathic pulmonary alveolar proteinosis; ipap; pap acquired

Patient organizations

Source: NIH GARD · Autoimmune pulmonary alveolar proteinosisGARD ID 7499 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Autoimmune pulmonary alveolar proteinosis.

Explore the Autoimmune pulmonary alveolar proteinosis blog

Explore research for Autoimmune pulmonary alveolar proteinosis

Explore actively recruiting Autoimmune pulmonary alveolar proteinosis studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Autoimmune pulmonary alveolar proteinosis with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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