Pulmonary Alveolar Microlithiasis and Rheumatoid Arthritis with Pulmonary Tuberculosis

Arti Sharma; Abhay Uppe; Shahid Patel; Girija Nair

doi:doi:10.11648/j.ajim.20180605.12

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Pulmonary Alveolar Microlithiasis and Rheumatoid Arthritis with Pulmonary Tuberculosis

Arti Sharma, Abhay Uppe, Shahid Patel, Girija Nair

Published in American Journal of Internal Medicine (Volume 6, Issue 5)

Received: 27 June 2018 Accepted: 23 July 2018 Published: 24 August 2018

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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.

Published in	American Journal of Internal Medicine (Volume 6, Issue 5)
DOI	10.11648/j.ajim.20180605.12
Page(s)	94-98
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Alveolar Microlithiasis, Rheumatoid Arthritis, Sputum Positive Pulmonary Tuberculosis

References

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APA Style

Arti Sharma, Abhay Uppe, Shahid Patel, Girija Nair. (2018). Pulmonary Alveolar Microlithiasis and Rheumatoid Arthritis with Pulmonary Tuberculosis. American Journal of Internal Medicine, 6(5), 94-98. https://doi.org/10.11648/j.ajim.20180605.12

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ACS Style

Arti Sharma; Abhay Uppe; Shahid Patel; Girija Nair. Pulmonary Alveolar Microlithiasis and Rheumatoid Arthritis with Pulmonary Tuberculosis. Am. J. Intern. Med. 2018, 6(5), 94-98. doi: 10.11648/j.ajim.20180605.12

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AMA Style

Arti Sharma, Abhay Uppe, Shahid Patel, Girija Nair. Pulmonary Alveolar Microlithiasis and Rheumatoid Arthritis with Pulmonary Tuberculosis. Am J Intern Med. 2018;6(5):94-98. doi: 10.11648/j.ajim.20180605.12

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@article{10.11648/j.ajim.20180605.12,
  author = {Arti Sharma and Abhay Uppe and Shahid Patel and Girija Nair},
  title = {Pulmonary Alveolar Microlithiasis and Rheumatoid Arthritis with Pulmonary Tuberculosis},
  journal = {American Journal of Internal Medicine},
  volume = {6},
  number = {5},
  pages = {94-98},
  doi = {10.11648/j.ajim.20180605.12},
  url = {https://doi.org/10.11648/j.ajim.20180605.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20180605.12},
  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.},
 year = {2018}
}

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TY  - JOUR
T1  - Pulmonary Alveolar Microlithiasis and Rheumatoid Arthritis with Pulmonary Tuberculosis
AU  - Arti Sharma
AU  - Abhay Uppe
AU  - Shahid Patel
AU  - Girija Nair
Y1  - 2018/08/24
PY  - 2018
N1  - https://doi.org/10.11648/j.ajim.20180605.12
DO  - 10.11648/j.ajim.20180605.12
T2  - American Journal of Internal Medicine
JF  - American Journal of Internal Medicine
JO  - American Journal of Internal Medicine
SP  - 94
EP  - 98
PB  - Science Publishing Group
SN  - 2330-4324
UR  - https://doi.org/10.11648/j.ajim.20180605.12
AB  - 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.
VL  - 6
IS  - 5
ER  -

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Author Information

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

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Plain Text BibTeX RIS

APA Style

Arti Sharma, Abhay Uppe, Shahid Patel, Girija Nair. (2018). Pulmonary Alveolar Microlithiasis and Rheumatoid Arthritis with Pulmonary Tuberculosis. American Journal of Internal Medicine, 6(5), 94-98. https://doi.org/10.11648/j.ajim.20180605.12

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ACS Style

Arti Sharma; Abhay Uppe; Shahid Patel; Girija Nair. Pulmonary Alveolar Microlithiasis and Rheumatoid Arthritis with Pulmonary Tuberculosis. Am. J. Intern. Med. 2018, 6(5), 94-98. doi: 10.11648/j.ajim.20180605.12

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AMA Style

Arti Sharma, Abhay Uppe, Shahid Patel, Girija Nair. Pulmonary Alveolar Microlithiasis and Rheumatoid Arthritis with Pulmonary Tuberculosis. Am J Intern Med. 2018;6(5):94-98. doi: 10.11648/j.ajim.20180605.12

Copy | Download

@article{10.11648/j.ajim.20180605.12,
  author = {Arti Sharma and Abhay Uppe and Shahid Patel and Girija Nair},
  title = {Pulmonary Alveolar Microlithiasis and Rheumatoid Arthritis with Pulmonary Tuberculosis},
  journal = {American Journal of Internal Medicine},
  volume = {6},
  number = {5},
  pages = {94-98},
  doi = {10.11648/j.ajim.20180605.12},
  url = {https://doi.org/10.11648/j.ajim.20180605.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20180605.12},
  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.},
 year = {2018}
}

Copy | Download

TY  - JOUR
T1  - Pulmonary Alveolar Microlithiasis and Rheumatoid Arthritis with Pulmonary Tuberculosis
AU  - Arti Sharma
AU  - Abhay Uppe
AU  - Shahid Patel
AU  - Girija Nair
Y1  - 2018/08/24
PY  - 2018
N1  - https://doi.org/10.11648/j.ajim.20180605.12
DO  - 10.11648/j.ajim.20180605.12
T2  - American Journal of Internal Medicine
JF  - American Journal of Internal Medicine
JO  - American Journal of Internal Medicine
SP  - 94
EP  - 98
PB  - Science Publishing Group
SN  - 2330-4324
UR  - https://doi.org/10.11648/j.ajim.20180605.12
AB  - 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.
VL  - 6
IS  - 5
ER  -

Copy | Download