https://doi.org/10.4081/monaldi.2021.1709
Pulmonary alveolar microlithiasis: Blizzard of lung
Submitted: December 1, 2020
Accepted: April 22, 2021
Published: June 10, 2021
Accepted: April 22, 2021
Abstract Views: 1539
PDF: 671
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Pulmonary alveolar microlithiasis (PAM) is a rare inherited disorder in which patients present with either nonspecific signs and symptoms or are asymptomatic. Clinical-radiological dissociation is a commonly seen feature of the disease. Majority of cases are diagnosed in second and third decade of life, although presentation in paediatric and elderly population is also reported. Pathognomonic radiological findings, with normal calcium and phosphate levels can confirm the diagnosis without the need of further investigations in large number of cases. A high index of suspicion and knowledge of the disease is of paramount importance as it has a wide range of presentation and variable course thus posing a diagnostic challenge. We present two cases of this rare disease in elderly females with distinct presentations although with similar and characteristic radiological findings along with a brief review of literature of the disease.
Castellana G, Castellana G, Gentile M, et al. Pulmonary alveolar microlithiasis: Review of the 1022 cases reported worldwide. Eur Respir Rev 2015;24:607-20.
DOI: https://doi.org/10.1183/16000617.0036-2015
Tendolkar M. An “Orphan” in search of a treatment: Pulmonary alveolar microlithiasis. Lung India 2019;36:553.
DOI: https://doi.org/10.4103/lungindia.lungindia_437_19
Viswananthan R. Pulmonary alveolar microlithiasis. Thorax 1962;17:251-6.
DOI: https://doi.org/10.1136/thx.17.3.251
Harbitz F. Extensive calcification of the lungs as a distinct disease. Arch Intern Med (Chic) 1918;XXI:139-46.
DOI: https://doi.org/10.1001/archinte.1918.00090070150012
Saito A, McCormack FX. Pulmonary Alveolar Microlithiasis. Clin Chest Med. 2016;37:441-8.
DOI: https://doi.org/10.1016/j.ccm.2016.04.007
Castellana G, Gentile M, Castellana R, et al. Pulmonary alveolar microlithiasis: clinical features, evolution of the phenotype, and review of the literature. Am J Med Genet 2002;111:220–4.
DOI: https://doi.org/10.1002/ajmg.10530
Tachibana T, Hagiwara K, Johkoh T. Pulmonary alveolar microlithiasis: Review and management. Curr Opin Pulm Med 2009;15:486-90.
DOI: https://doi.org/10.1097/MCP.0b013e32832d03bb
Castellana G, Carone D, Castellana M. Microlithiasis of seminal vesicles and severe oligoasthenospermia in pulmonary alveolar microlithiasis (PAM): report of an unusual sporadic case. Int J Fertil Steril 2015; 9:137-40.
Balikian JP, Fuleihan FJ, Nucho CN. Pulmonary alveolar microlithiasis. Report of five cases with special reference to roentgen manifestations. Am J Roentgenol Radium Ther Nucl Med 1968;103:509-18.
DOI: https://doi.org/10.2214/ajr.103.3.509
Felson B. Thoracic calcifications. Dis Chest 1969;56:330-43.
DOI: https://doi.org/10.1378/chest.56.4.330
Cluzel P, Grenier P, Bernadac P, et al. Pulmonary alveolar microlithiasis: Ct findings. J Comput Assist Tomog. 1991;15:938-42.
DOI: https://doi.org/10.1097/00004728-199111000-00006
Pracyk JB, Simonson SG, Young SL, et al. Composition of lung lavage in pulmonary alveolar microlithiasis. Respiration 1996;63:254-60.
DOI: https://doi.org/10.1159/000196556
Ganesan N, Ambroise MM, Ramdas A, et al. Pulmonary alveolar microlithiasis: an interesting case report with systematic review of Indian literature. Front Med 2015;9:229-38.
DOI: https://doi.org/10.1007/s11684-015-0394-y
Belém LC, Zanetti G, Souza AS, et al. Metastatic pulmonary calcification: State-of-the-art review focused on imaging findings. Respir Med 2014;108:668-76.
DOI: https://doi.org/10.1016/j.rmed.2014.01.012
Ozcelik U, Yalcin E, Arıyurek M, et al. Long-term results of disodium etidronate treatment in pulmonary alveolar microlithiasis. Pediatr Pulmonol 2010;45:514-7.
DOI: https://doi.org/10.1002/ppul.21209
Stamatis G, Zerkowski H, Doetsch N, et al. Sequential bilateral lung transplantation for pulmonary alveolar microlithiasis. Ann Thorac Surg 1993;56:972-5.
DOI: https://doi.org/10.1016/0003-4975(93)90370-W
Jindal A, Rahulan V, Balasubramani G, et al. Pulmonary alveolar microlithiasis: A rare disease treated with lung transplantation, first case from India. Lung India 2019;36:546.
DOI: https://doi.org/10.4103/lungindia.lungindia_50_19
How to Cite
Mittal, Richa, Rohit Kumar, Juvva Kishan Srikanth, Siddharth Raj Yadav, Ravi Chandak, and Shibdas Chakrabarti. 2021. “Pulmonary Alveolar Microlithiasis: Blizzard of Lung”. Monaldi Archives for Chest Disease 91 (4). https://doi.org/10.4081/monaldi.2021.1709.
Copyright (c) 2021 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- A. Yilmaz, G. Bektemur, G.H. Ekinci, E.A. Ongel, M. Kavas, O. Haciomeroglu, M. Demir, B. Burunsuzoglu, Extralobar pulmonary sequestration: a case report , Monaldi Archives for Chest Disease: Vol. 79 No. 2 (2013): Pulmonary series
- Nitin Goel, Nitesh Goyal, Raj Kumar, Exertional dyspnea and hemoptysis in an adolescent: is it tuberculosis only? , Monaldi Archives for Chest Disease: Vol. 91 No. 1 (2021)
- Halil Yanardag, Cuneyt Tetikkurt, Muammer Bilir, Erkan Yılmaz, Association of HLA antigens with the clinical course of sarcoidosis and familial disease , Monaldi Archives for Chest Disease: Vol. 87 No. 3 (2017)
- Emanuela Barisione, Giovanni A. Rossi, Mario Salio, Gradually worsening dyspnea and dry cough in an elderly patient , Monaldi Archives for Chest Disease: Vol. 87 No. 2 (2017)
- Swetabh Purohit, Manu Madan, Rohit Kumar, Rajnish Kaushik, Pranav Ish, Mahendran AJ, Shibdas Chakrabarti, Neeraj Kumar Gupta, Nitesh Gupta, Comparison of immediate withdrawal and stepwise reduction in duration of non-invasive ventilation in chronic obstructive pulmonary disease patients presenting with acute hypercapnic respiratory failure , Monaldi Archives for Chest Disease: Early Access
- Michele Vitacca, Marta Lazzeri, Enrico Guffanti, Pamela Frigerio, Francesco D’Abrosca, Silvia Gianola, Mauro Carone, Mara Paneroni, Piero Ceriana, Franco Pasqua, Paolo Banfi, Francesco Gigliotti, Carla Simonelli, Serena Cirio, Veronica Rossi, Chiara G. Beccaluva, Mariangela Retucci, Martina Santambrogio, Andrea Lanza, Francesca Gallo, Alessia Fumagalli, Marco Mantero, Greta Castellini, Mariaconsiglia Calabrese, Giorgio Castellana, Eleonora Volpato, Marina Ciriello, Marina Garofano, Enrico Clini, Nicolino Ambrosino, on behalf of AIPO, ARIR, SIP, AIFI and SIFIR, An Italian consensus on pulmonary rehabilitation in COVID-19 patients recovering from acute respiratory failure: results of a Delphi process , Monaldi Archives for Chest Disease: Vol. 90 No. 2 (2020)
- Vipul Prakash, Arjun Kumar, Lokesh Kumar Saini, Barun Kumar, Girish Sindhwani, Prakhar Sharma, Ruchi Dua, Ravi Gupta, Mayank Mishra, Proportion of sleep-related breathing disorders and their association with echocardiographic parameters in stable patients with chronic obstructive pulmonary disease: a cross-sectional observational exploratory study , Monaldi Archives for Chest Disease: Early Access
- Pankti Sheth Ketan, Rohit Kumar, Mahendran AJ, Pranav Ish, Shibdas Chakrabarti, Neeraj Kumar Gupta, Nitesh Gupta, Post-extubation high-flow nasal cannula oxygen therapy versus non-invasive ventilation in chronic obstructive pulmonary disease with hypercapnic respiratory failure , Monaldi Archives for Chest Disease: Vol. 94 No. 2 (2024)
- Dario Amore, Umberto Caterino, Dino Casazza, Riccardo Ievoli, Pasquale Imitazione, Alessandro Saglia, Alessandro Izzo, Marco Rispoli, Carlo Curcio, Persistent alveolar air leak following pulmonary lobectomy: an old problem in a modern era , Monaldi Archives for Chest Disease: Vol. 93 No. 4 (2023)
- M. Bussotti, S. Di Marco, G. Marchese, P.G. Agostoni, Subclinical pulmonary edema in endurance athletes , Monaldi Archives for Chest Disease: Vol. 77 No. 2 (2012): Pulmonary series
<< < 2 3 4 5 6 7 8 9 10 11 > >>
You may also start an advanced similarity search for this article.
