Volume 6, Issue 5, September 2018, Page: 94-98
Pulmonary Alveolar Microlithiasis and Rheumatoid Arthritis with Pulmonary Tuberculosis
Arti Sharma, Department of Pulmonary Medicine, D. Y. Patil Medical College, Navi Mumbai, India
Abhay Uppe, Department of Pulmonary Medicine, D. Y. Patil Medical College, Navi Mumbai, India
Shahid Patel, Department of Pulmonary Medicine, D. Y. Patil Medical College, Navi Mumbai, India
Girija Nair, Department of Pulmonary Medicine, D. Y. Patil Medical College, Navi Mumbai, India
Received: Jun. 27, 2018;       Accepted: Jul. 23, 2018;       Published: Aug. 24, 2018
DOI: 10.11648/j.ajim.20180605.12      View  643      Downloads  46
Abstract
Pulmonary alveolar microlithiasis (PAM) is a rare autosomal recessive disease, characterised by widespread intra-alveolar accumulation of microliths. A 30-year-old male patient, known case of rheumatioid arthritis on treatment, presented with occasional complaints of cough with expectoration, since 1 year. He was found to be sputum AFB positive for which AKT was started, and a chest xray was advised, which showed diffuse bilateral micronodular calcific opacities having sand-like appearance distributed throughout the lungs, with a evident black pleural sign, which made us suspect PAM. An HRCT chest showed, multiple dense micronodular opacities in bilateral lung parenchyma prominently in the middle and lower lung zones giving a classical sandstorm appearance with sparing of a thin peripheral subpleural rim of parenchyma, giving a black pleura sign. The patient was symptomatically treated and was counselled for lung transplant and presents for regular follow up.
Keywords
Alveolar Microlithiasis, Rheumatoid Arthritis, Sputum Positive Pulmonary Tuberculosis
To cite this article
Arti Sharma, Abhay Uppe, Shahid Patel, Girija Nair, Pulmonary Alveolar Microlithiasis and Rheumatoid Arthritis with Pulmonary Tuberculosis, American Journal of Internal Medicine. Vol. 6, No. 5, 2018, pp. 94-98. doi: 10.11648/j.ajim.20180605.12
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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