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Refined Murine Model of Idiopathic Pulmonary Fibrosis
Published on: June 17, 2025
A 55 years old man with pulmonary alveolar microlithiasis
1Department of Medicine, General University Teaching Hospital of Sulaimania, Kurdistan, Iraq.
Abstract:
Pulmonary alveolar microlithiasis (PAM) is a very rare diffuse chronic lung disease characterized by deposition of small spherules of calcium phosphate within the alveolar cavity. The disease is usually seen from birth up to 40 years of age and is usually diagnosed incidentally during radiography of the chest for other reasons. Most of patients are asymptomatic or having very mild symptoms and the majority of patients either have normal or restrictive pulmonary function test. Clinically, the course of the disease is different; it remains static in few patients or it may progress to pulmonary fibrosis, respiratory failure and cor pulmonale in others. In this case report, we present a 55-year-old man who presented with moderate shortness of breath which has progressed from mild symptoms with in the previous years. His chest high-resolution CT scan showed diffusely scattered, ill-defined little shadowy micronodules which involve the left lung; lingula and left lower lobe in particular. A lung biopsy confirmed the diagnosis of PAM. He was followed up for 1 year with treatment by steroid and alendronate, and no progression was noticed in fact improvement in pulmonary function test noticed. This is the first case report of PAM in Kurdistan.
Insights
Pulmonary alveolar microlithiasis (PAM), a rare lung disease, involves calcium phosphate deposition. This case report details a 55-year-old man
Area of Science:
- Pulmonology
- Radiology
- Pathology
Background:
- Pulmonary alveolar microlithiasis (PAM) is a rare diffuse chronic lung disease.
- Characterized by calcium phosphate deposition in alveoli, typically diagnosed incidentally in individuals up to 40 years old.
- Disease course varies from static to progressive, potentially leading to fibrosis, respiratory failure, and cor pulmonale.
Purpose of the Study:
- To report a case of Pulmonary alveolar microlithiasis (PAM) in a 55-year-old male.
- To describe the diagnostic findings and treatment response in an adult patient with PAM.
- To highlight the first reported case of PAM in Kurdistan.
Main Methods:
- Case report of a 55-year-old male presenting with progressive shortness of breath.
- High-resolution computed tomography (HRCT) of the chest.
- Lung biopsy for histopathological confirmation.
- 1-year follow-up with steroid and alendronate treatment.
Main Results:
- HRCT revealed diffusely scattered, ill-defined micronodules in the left lung.
- Lung biopsy confirmed Pulmonary alveolar microlithiasis (PAM).
- One-year follow-up showed no disease progression and improvement in pulmonary function tests with treatment.
Conclusions:
- Pulmonary alveolar microlithiasis (PAM) can occur in older adults and may present with progressive symptoms.
- Treatment with steroids and alendronate may be beneficial in managing PAM.
- This case represents the first documented instance of PAM in the Kurdistan region.
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