Pulmonary Alveolar Microlithiasis: A commonly misdiagnosed rare entity

Pulmonary alveolar microlithiasis (PAM) is an uncommon entity which can pose a diagnostic challenge. We report a 45-year-old female who was referred to the All India Institute of Medical Sciences, Bhopal, India, in 2017 with a two-year history of progressively worsening dyspnoea and dry coughing. Sh...

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Main Authors: Alkesh Khurana, Rajesh Malik, Jitendra Sharma, Ujjawal Khurana, Abhishek Goyal
Format: Article
Language:English
Published: Sultan Qaboos University 2018-09-01
Series:Sultan Qaboos University Medical Journal
Online Access:https://journals.squ.edu.om/index.php/squmj/article/view/2727
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author Alkesh Khurana
Rajesh Malik
Jitendra Sharma
Ujjawal Khurana
Abhishek Goyal
author_facet Alkesh Khurana
Rajesh Malik
Jitendra Sharma
Ujjawal Khurana
Abhishek Goyal
author_sort Alkesh Khurana
collection DOAJ
description Pulmonary alveolar microlithiasis (PAM) is an uncommon entity which can pose a diagnostic challenge. We report a 45-year-old female who was referred to the All India Institute of Medical Sciences, Bhopal, India, in 2017 with a two-year history of progressively worsening dyspnoea and dry coughing. She had been previously diagnosed with pulmonary tuberculosis elsewhere and prescribed antitubercular therapy; however, there was little improvement in her symptoms. Following referral, the patient was diagnosed with PAM based on high-resolution computed tomography findings and the abundance of lamellar microliths in a bronchoalveolar lavage sample. She was subsequently managed symptomatically and enrolled in a rehabilitation programme. Keywords: Calcinosis; Pulmonary Alveolar Microlithiasis; Pulmonary Tuberculosis; Misdiagnosis; Case Report; India.
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spelling doaj.art-852fd6905ac14a8380a29d49068d46112022-12-22T03:16:41ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal2075-051X2075-05282018-09-0118223623810.18295/squmj.2018.18.02.0212406Pulmonary Alveolar Microlithiasis: A commonly misdiagnosed rare entityAlkesh Khurana0Rajesh Malik1Jitendra Sharma2Ujjawal Khurana3Abhishek Goyal4Department of Pulmonary Medicine, All India Institute of Medical Sciences, Bhopal, IndiaDepartment of Radiodiagnosis, All India Institute of Medical Sciences, Bhopal, IndiaDepartment of Radiodiagnosis, All India Institute of Medical Sciences, Bhopal, IndiaDepartment of Pathology & Laboratory Medicine, All India Institute of Medical Sciences, Bhopal, IndiaDepartment of Pulmonary Medicine, All India Institute of Medical Sciences, Bhopal, IndiaPulmonary alveolar microlithiasis (PAM) is an uncommon entity which can pose a diagnostic challenge. We report a 45-year-old female who was referred to the All India Institute of Medical Sciences, Bhopal, India, in 2017 with a two-year history of progressively worsening dyspnoea and dry coughing. She had been previously diagnosed with pulmonary tuberculosis elsewhere and prescribed antitubercular therapy; however, there was little improvement in her symptoms. Following referral, the patient was diagnosed with PAM based on high-resolution computed tomography findings and the abundance of lamellar microliths in a bronchoalveolar lavage sample. She was subsequently managed symptomatically and enrolled in a rehabilitation programme. Keywords: Calcinosis; Pulmonary Alveolar Microlithiasis; Pulmonary Tuberculosis; Misdiagnosis; Case Report; India.https://journals.squ.edu.om/index.php/squmj/article/view/2727
spellingShingle Alkesh Khurana
Rajesh Malik
Jitendra Sharma
Ujjawal Khurana
Abhishek Goyal
Pulmonary Alveolar Microlithiasis: A commonly misdiagnosed rare entity
Sultan Qaboos University Medical Journal
title Pulmonary Alveolar Microlithiasis: A commonly misdiagnosed rare entity
title_full Pulmonary Alveolar Microlithiasis: A commonly misdiagnosed rare entity
title_fullStr Pulmonary Alveolar Microlithiasis: A commonly misdiagnosed rare entity
title_full_unstemmed Pulmonary Alveolar Microlithiasis: A commonly misdiagnosed rare entity
title_short Pulmonary Alveolar Microlithiasis: A commonly misdiagnosed rare entity
title_sort pulmonary alveolar microlithiasis a commonly misdiagnosed rare entity
url https://journals.squ.edu.om/index.php/squmj/article/view/2727
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AT jitendrasharma pulmonaryalveolarmicrolithiasisacommonlymisdiagnosedrareentity
AT ujjawalkhurana pulmonaryalveolarmicrolithiasisacommonlymisdiagnosedrareentity
AT abhishekgoyal pulmonaryalveolarmicrolithiasisacommonlymisdiagnosedrareentity