TABLE 1

Diagnostic yield of the different sampling techniques in macrophage-rich pulmonary diseases

Bronchoalveolar lavageTransbronchial biopsyTransbronchial cryobiopsySurgical lung biopsy
Respiratory bronchiolitis interstitial lung disease+++++++++
Desquamative interstitial pneumonia+++++++++
Langerhans cell histiocytosis+++++++++
Extrinsic allergic alveolitis/hypersensitivity pneumonitis+++++++++
Diffuse pan-bronchiolitis+++++++++
Exogenous lipoid pneumonitis++++++++++
Pneumoconiosis+++++++++
Pulmonary alveolar proteinosis+++++++++++
Erdheim–Chester disease++++++
Rosai–Dorfman disease++++++
Gaucher disease+#++++++
Niemann–Pick disease+#++++++

–: almost never diagnostic; +: weakly diagnostic; ++: moderately diagnostic; +++: almost always diagnostic. #: bronchoalveolar lavage is helpful in supporting the diagnosis once clinically suspected, but rarely diagnostic per se.