A 55 years old man with pulmonary alveolar microlithiasis

Rebeen R Saeed1, Kosar M Ali2

  • 1Department of Medicine, General University Teaching Hospital of Sulaimania, Kurdistan, Iraq.

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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