Pulmonary alveolar microlithiasis: Report on 576 cases published in the literature

Sarcoidosis Vasculitis and Diffuse Lung Diseases

Volumn 21, Issue 3, 2004, Pages 173-181

  Mariotta, Salvatore ^a,c   Ricci, Alberto ^a   Papale, Maria ^a   De Clementi, Francesca ^a   Sposato, Bruno ^a   Guidi, Laura ^b   Mannino, Francesco ^a  

^a SAPIENZA UNIVERSITY OF ROME   (Italy)

^b SAN FILIPPO NERI HOSPITAL   (Italy)

^c SAPIENZA UNIVERSITY OF ROME   (Italy)

Author keywords

Calculi; Microlithiasis; Pulmonary alveolar microlithiasis

Indexed keywords

CALCIUM;

ASIA; BULGARIA; CALCIFICATION; CARDIOPULMONARY INSUFFICIENCY; COMPUTER ASSISTED TOMOGRAPHY; DISEASE COURSE; EUROPE; FAMILY HISTORY; FRANCE; GERMANY; HUMAN; INDIA; ITALY; JAPAN; LUNG ALVEOLUS; LUNG TUBERCULOSIS; POLAND; PRIORITY JOURNAL; PULMONARY ALVEOLAR MICROLITHIASIS; REVIEW; RUSSIAN FEDERATION; SARCOIDOSIS; SPAIN; STONE FORMATION; THORAX RADIOGRAPHY; TURKEY (REPUBLIC); UNITED STATES; YUGOSLAVIA;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; ASIA; CHEST PAIN; CHILD; CHILD, PRESCHOOL; COUGH; DIAGNOSIS, DIFFERENTIAL; DYSPNEA; EUROPE; FEMALE; HUMANS; INFANT; INFANT, NEWBORN; LITHIASIS; LUNG DISEASES; LUNG TRANSPLANTATION; MALE; MEDICAL HISTORY TAKING; MIDDLE AGED; PULMONARY ALVEOLI; RADIOGRAPHY, THORACIC; SARCOIDOSIS; TUBERCULOSIS, PULMONARY;

EID: 8144222756     PISSN: 11240490     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (121)

1. Harbitz F: Extensive calcification of lungs as a distinct disease. Arch Int Med 1918; 21: 139-46.
2. Schildknecht O: Zur pathogenese verkalkter schichtungskugeln sog."Corpora amylacea" in der lunge (unter mitteilung eines ungewohnlichen falles). Arch Path Anat 1932; 285: 466-80.
3. Puhr L: Mikrolithiasis alveolaris pulmonum. Virchows Arch Path Anat 1933; 290: 156-60; also, Orvosi Hetil 1933; 77: 661-3.
4. Puhr L: Mikrolithiasis alveolaris pulmonum. Virchows Arch Path Anat 1933; 290: 156-60; also, Orvosi Hetil 1933; 77: 661-3.
5. Mariani B, Montanini N, Torelli G: Microlitiasi polmonare endoalveolare diffusa. Ann Ist Carlo Forlanini 1947; 10: 179-99.
6. Sosman MD, Dodd GD, Jones WD, Pilmore GJ: The familial occurrence of pulmonary alveolar microlithiasis. Am J Roentgenol 1957; 77: 947-1012.
7. Passariello R: La microlitiasi alveolare del polmone. Revisione della letteratura e presentazione di 6 nuovi casi. Riv Radiol 1968; 8: 3-75.
8. Ucan ES, Keyf Al, Aydilek R, et al: Pulmonary alveolar microlithiasis: review of Turkish reports. Thorax 1993; 48: 171-3.
9. Mariotta S, Guidi L, Papale M, Ricci A, Bisetti A: Pulmonary alveolar microlithiasis: review of Italian reports. Eur J Epidemiol. 1997; 13: 587-90.
10. Senyigit A, Yaramis A, Gurkan F, et al: Pulmonary alveolar microlithiasis: a rare familial inheritance with report of six cases in a family. Respiration 2001; 68: 204-9.
11. Caffrey PR, Altman RS: Pulmonary alveolar microlithiasis occurring in premature twins. J Pediat 1965; 66: 758-63.
12. Stefani M: La microlitiasi alveolare polmonare. Riv Anat Patol Oncol 1968; 34: 485-526.
13. Chang AR: Pulmonary alveolar microlithiasis. Pathology 1980; 12: 164-7.
14. Sears MR, Chang AR, Taylor AJ: Pulmonary alveolar microlithiasis. Thorax 1971; 26: 704-11.
15. Tiedjen KU, Kosberg R, Kruger G: Pulmonary microlithiasis following iodine lipiodol lymphography? Radiologe 1986; 26: 460-3.
16. Castellana G, Castellana R: La microlitiasi alveolare polmonare: caso clinico-radiologico, contributo casistico. Arch Med Int 1989; 41: 33-41.
17. Castellana G, Gentile M, Castellana R, Fiorente P, Lamorgese V: Pulmonary alveolar microlithiasis: clinical features, evolution of the phenotype and review of the literature. Am J Med Genet 2002; 111: 220-4.
18. Manz A: Mikrolithiasis der Lungen mit Pilzbefall. Beitr Klin Tuberk 1954; 111: 598-609.
19. Mascie-Taylor BH, Wardman AG, Madden CA, Page RL: A case of alveolar microlithiasis: observation over 22 years and recovery of material by lavage. Thorax 1985; 40: 952-3.
20. Moran CA, Hochholzer L, Hasleton PS, Johnson FB, Koss MN: Pulmonary alveolar microlithiasis. A clinicopathologic and chemical analysis of seven cases. Arch Pathol Lab Med 1991; 121: 607-11.
21. rd, Brown ML, Payne WS: Pulmonary alveolar microlithiasis. A review including ultrastructural and pulmonary function studies. Mayo Clin Proc 1983; 58: 290-300.
22. Shishido S, Toritani T, Nakano H, Tokushima T: A case of alveolar microlithiasis which developed spontaneous pneumothorax due to progression of emphysematous bullae during 34 years after established diagnosis. Nippon Kyobu Shikkan Gakkai Zasshi 1993; 31: 881-5.
23. Tatti V, Riniker P: Microlithiase alveolaire pulmonaire diffuse et familiale. Helv Med Acta 1962; 29: 611-21.
24. Palombini BC, Porto NS, Wallau CV, Camargo J: Bronchopulmonary lavage in alveolar microlithiasis. Anaesth Intensive Care 1978; 6: 265.
25. Gocmen A, Toppare MF, Kiper N, Buyukpamukcu N: Treatment of pulmonary alveolar microlithiasis with a diphosphonate: preliminary results of a case. Respiration 1992; 59: 250-2
26. Jankovic S, Pavlov N, Ivkosic A, et al: Pulmonary alveolar microlithiasis in chilhood: clinical and radiological follow-up. Pediatr Puimonol 2002; 34: 384-7.
27. Ozcelik U, Gulsun M, Gocmen A et al: Treatment and follow-up of pulmonary alveolar microlithiasis with disodium editronate: radiological demonstration. Pediatr Radiol 2002; 32: 380-3.
28. Mariotta S, Guidi L, Mattia P, et al: Pulmonary alveolar microlithiasis: report of two cases. Respiration 1997; 64: 165-9.
29. Bonnette P, Bisson A, el Kadi NB, et al: Bilateral single lung transplantation. Complications and results in 14 patients. Eur J Cardiothorac Surg 1992; 6: 550-4.
30. Stamatis G, Zerkowski HR, Doetsch N, Greschuchna D, Konietzko N, Reidemeister JC: Sequential bilateral lung transplantation for pulmonary alveolar microlithiasis. Ann Thorac Surg 1993; 56: 972-5.
31. Edelman JD, Bavaria J, Kaiser LR, Litzky LA, Palevsky HI, Kotloff RM: Bilateral sequential lung transplantation for pulmonary alveolar microlithiasis. Chest 1997; 112: 1140-4.
32. Jackson KB, Modry DL, Halenar J, Labbe J, Winton TL, Lien TC: Single lung transplantation for pulmonary alveolar microlithiasis. J Heart Lung Transplant 2001; 20: 226.
33. Hotchi M, Nasu T, Mihara H: An autopsy case of microlithiasis alveolaris pulmonum with special attention to elastosis in lung tissue. Acta Pathol Jpn 1970; 20: 111-25.
34. Tachibana T, Hayashi S, Jokoh T, Ueda S, Takahashi H: Diagnosis and management of pulmonary alveolar microlithiasis. Sarcoidosis Vasculitis and Diffuse Lung Diseases 2001; 18(suppl 1): 58.
35. Bush M, James AE, Montali RJ, Stitik FP: Pulmonary alveolar microlithiasis in a Binturong (Arctictis binturong): a case report. JAM Vet Radiol Soc 1976; 17: 157-60.
36. Kelly OF: Pulmonary alveolar microlithiasis in the orang-utan (Pongo pygmaeus). Acta Zool Pathol Antverp 1976; 66: 53-7.
37. Brix AE, Latimer KS, Moore GE, Roberts RE: Pulmonary alveolar microlithiasis and ossification in a dog. Vet Pathol 1994; 31: 382-5.
38. Liu SK, Suter PF, Ettinger S: Pulmonary alveolar microlithiasis with ruptured chordae tendineae in mitral and tricuspid valves in a dog. J Am Vet Med Assoc 1969; 155: 1692-703.
39. Romboli B, Del Bono G: Pneumopatia a microliu nell'ovino. Ann Fac Med Vet 1966; 19: 175-201.
40. Brummer DG, French TW, Cline JM: Microlithiasis associated with chronic bronchopneumonia in a cat. J Am Vet Med Assoc 1989; 194: 1061-4.
41. Starost MF, Benavides F, Conti CJ: A variant of pulmonary alveolar microlithiasis in nacht mice. Vet Pathol 2002; 39: 390-2.
42. Madarame H, Kumagai M, Suzuki J, Watanabe A, Konno S: Pulmonary alveolar microlithiasis in Afghan pika (Ochoton rufescens rufescens). Vet Patol 1989; 26: 333-7.
43. Yesner R, Skorneck A: Pulmonary alveolar microlithiasis in mitral stenosis. Am J Path 1956; 32: 611.
44. Jona G: Stenosi mitralica a forma emoftoica. Indurimento bruno del polmone, calcificante. Lezione epicritica. Policlinico (Sez. Prat.) 1933; 40: 1679-85.
45. Lawson HM: Disseminated ossification of the lungs in association with mitral stenosis. Br Med J 1949; 1: 433-4.
46. Arslan A, Yalin T, Akan H, Belet U: Pulmonary alveolar microlithiasis associated with calcifications in the seminal vesicles. J Belge Radiol 1996; 79: 118-9.
47. Coetzee T: Pulmonary alveolar microlithiasis with involvement of the sympathetic nervous system and gonads. Thorax 1970; 25: 637-42.
48. Piesiak P, Kasibowska-Kuzniar K, Jankowska R: Pulmonary alveolar microlithiasis in a patient with urolithiasis and cholelithiasis. Pneumonol Alergol Pol 2001; 69: 285-9.
49. Burguet W, Reginster A: L'heredite de la microlithiase alveolaire pulmonaire. A propos d'une nouvelle observation familiale. Ann Genet 1967; 10: 75-81.
50. Mikhailov V, Prodanov A, Rashev M: Kvoprosu o diffuznom endoal'veoliarnom litiaze legkikh. Arkh pat Moskva 1956; 18: 73-6.
51. Arguelles M, Quinonez MG, Cicero R, Giacinti P: Microlitiasis alveolar pulmonar en dos hermanos. Rev Invest Clin 1993; 45: 593-6.
52. Balikian JP, Fuleihan FJ, Nucho CN: Pulmonary alveolar microlithiasis. Report of five cases with special reference to roentgen manifestations. Am J Roentgenol Radium Ther Nucl Med 1968; 103: 509-18.
53. Biary MS, Abdullah MA, Assaf HM, Wazzan A: Pulmonary alveolar microlithiasis in a Saudi child and two cousins. Ann Trop Paediatr 1993; 13: 409-13.
54. Bilalis D, Pournaras N, Papadimitriou D, Daikos G: Microlithiase alveolaire pulmonaire. Observation sur un cas familial. Nouv Presse Med 1973; 2: 2877-80.
55. Biondo G, Leone P, De Majo D, Ermenegildo F: Su due casi di pneumopatia da microlitiasi endoalveolare. Pneumologica 1968; 9: 669-80.
56. Chetty A, Paul VK, Kumar A, Mitra DH, Chopra P: Alveolar microlithiasis - a case report with review of literature. Indian J Pediatr 1983; 50: 453-5.
57. 198Au) particles in three patients with microlithiasis. ROFO Fortschr Geb Rontgenstr Nuklearmed 1981; 135: 296-300.
58. Drinkovic I, Strohal K, Sabljica B: Mikrolithiasis alveolaris pulmonum. Fortschr Roentgens tr 1962; 97: 180-5.
59. Esguerra-Gomez G, Lichtemberger E, Santamaria A, et al: Familial pulmonary alveolar microlithiasis: four cases from Colombia. Radiology 1959; 72: 550-61.
60. Fossati C: Microlithiasis alveolaris pulmonum (enfermetad de Malpighi-Puhr). Rev Esp de Tub y Archivas del Apar Res y Circ 1968; 37: 51-80.
61. Freour P, Laumonnier P, Verger P, Germouty R, Cardinaud R, Cardinaud JP : Les microlithiases pulmonaires alveolaires (a propos de deux cas familiaux de miliaires calcifiees). J Med Bordeaux 1959; 4: 459-66.
62. Fuleihan FJD, Abboud RT, Balikian JP, Nucho CKN: Pulmonary alveolar microlithiasis: lung function in five cases. Thorax 1969; 24: 84-90.
63. Garty I, Giladi N, Flatau E: Bone scintigraphy in two siblings with pulmonary alveolar microlithiasis. Br J Radiol 1985; 58: 763-6.
64. Helbich TH, Wojnarovsky C, Wunderbaldinger P, Heinz Peer G, Eichler I, Herold CJ: Pulmonary alveolar microlithiasis in children: radiographic and high resolution CT findings. Am J Roentgenol 1997; 168: 63-5.
65. Jakob SM, Kraft R, Im Hof V: 3 Geschwister mit identischer, seltener Pneumopathie. Schweiz Med Wochenschr 1997; 127: 1528-30.
66. Kiatboonsri S, Charoenpan P, Vathesatogkit P, Boompucknavig V: Pulmonary alveolar microlithiasis: report of five cases and literature review. J Med Assoc Thai 1985; 68; 672-7.
67. Kino T, Kohara Y, Tsuji S: Pulmonary alveolar microlithiasis. A report of two young sisters. Am Rev Respir Dis 1972; 105: 105-10.
68. Le Charpentier Y, Berry JP, Vacher Lavenu MC, et al: Microlithiase alveolaire pulmonaire chez l'enfant. Une observation avec etude ultrastructurale et microanalyse. Rev Fr Mal Respir 1980; 8: 3-10.
69. Liebetrau G, Assmann H, Reiss-Zimmerman GU, Aerisch F Jr, Pielesch W: Microlithiasis alveolaris pulmonum. Pneumologie 1989; 43: 464-8.
70. Lopez-Areal L, Zumarraga R, Gil Turner C, Martin Granizo IF, Vara Cuadrado F, Duque Fraile J: Microlithiasis alveolar pulmonary familiar e infantil. Descripcion de cinco casos en dos families. Rev Clin Esp 1965; 97: 389-95.
71. Mariani B, Bassi A: Microlitiasi polmonare endoalveolare famigliare (Osservazionedi 3 casi). G Pneumol 1966; 10: 579-85.
72. Melamed JW, Sostman HD, Ravin CE: Interstitial thickening in pulmonary alveolar microlithiasis: an underappreciated finding. J Thorac Imaging 1994; 9: 126-8
73. Semelaigne G, Hurez A, Le Braz A: Images micronodulaires pulmonaires familiales, microlithiase alveolaire diffuse tres probable. Arch Fr Pediat 1958; 15: 670-5.
74. Thind GS, Bathia JL: Pulmonary alveolar microlithiasis. Br J Dis Chest 1978; 72: 151-4.
75. al-Damluji SF, Al-Omari MM, Al-Fakhri S: Pulmonary alveolar microlithiasis in two siblings from Iraq. Br J Dis Chest 1973; 67: 246-52.
76. Bethenod M: La microlithiase endoalveolaire. Pediatrie 1962; 17: 103-4.
77. Israel-Asselain R, Chebat J, Abelanet R, Lechien J: Microlithiase alveolaire pulmonaire demontree par bj'opsie. J Franc Med Chir Thor 1960; 14: 635-60.
78. Pivetaud J: A propos d'un cas de microlithiase alveolaire. Le diagnostic des images miliaires. Maroc Med 1960; 427: 1322-7.
79. Fuleihan FJD, Abboud RT, Balikian JP, Nucho CKN: Pulmonary alveolar microlithiasis: lung function in five cases. Thorax 1969; 24; 84-90.
80. Tezok F, Balci K, Baris I, Kur C: Un cas de microlithiase alveolaire pulmonaire diffuse. Rev Med Moyen Orient 1965; 22: 447-50.
81. Ishida T, Matsumura Y, Miyake A: A case of pulmonary alveolar microlithiasis showing respiratory failure after 33 years and revealing microliths in bronchoalveolar lavage. Nippon Kyobu Shikkan Gakkai Zasshi 1991; 29: 627-31.
82. Malpighi M: Manoscritti, vol XII, foglio 81. In Anzalone M. Marcello Malpighi e i suoi scritti sugli organi del respiro. Bologna: Ed Tamari, 1966: 259-62.
83. Fossati C: Microlithiasis alveolaris pulmonum (enfermetad de Malpighi-Puhr). Rev Esp de Tub y Archivos del Apar Res y Circ 1968; 37; 51-80.
84. Mariani B, Bassi A: Attualità in tema di microlitiasi polmonare endoaIveolare (malattia di Malpighi). Proposte per una classificazione anatomo-clinica. Minerva Med 1967; 58: 3761-6.
85. Badger TL, Gottlieb L, Gaensler EA: Alveolar microlithiasis or calcinosis of lungs. N Engl J Med 1955; 253: 709-15.
86. Chalmers AG, Wyatt J, Robinson PJ: Computed tomographic and pathological findings in pulmonary alveolar microlithiasis. Br J Radiol 1986; 59: 408-11.
87. Gilsanz V, Palacios JM, Alonso Barrera JM: Alveolar microlithiasis. Rev Clin Espan 1956; 61: 392-6.
88. Theros E: An exercise in radiologic-pathologic correlation. Radiology 1968; 91: 807-12.
89. Adnet JJ, Blanchard J, Gaillard D, Lebreil G: La microlithiase alveolaire: etude en microscopic electronique et en immunofluorescence d'une biopsie pulmonaire. Arch Anal Cytol Pathol 1981; 29: 105-8.
90. Ishii N, Ueda S, Hayashi K, et al: Ultrastructural study on the pulmonary alveolar microlithiasis, with reference to the scanning and transmission electron microscopic findings. J Clin Electron Microscopy 1976; 9: 437-9.
91. Krokowski E, Michel H: Das Rontgenbild im Verlauf der Mikrolithiasis alveolaris pulmonum. Fortschr Geh Rontgenstr Nuklearmed 1966; 105: 201-8.
92. Radosavljevic G, Rebic P, Mandaric D: Microlithiase alveolaire pulmonaire chez 2 freres. Rev Pneumol Clin 1988; 44: 202-4.
93. Barbolini G, Rossi G, Bisetti A: Pulmonary alveolar microlithiasis. N Engl J Med 2002; 347: 69-70.
94. Cale WF, Petsonk EL, Boyd CB: Transbronchial biopsy of pulmonary alveolar microlithiasis. Arch Intern Med 1983; 143: 358-9.
95. Chan ED, Morales DV, Welsh CH, McDermott MT, Schwartz MI: Calcium deposition with or without bone formation in the lung. Am J Respir Crit Care Med 2002; 165: 1564-69.
96. Taxay EP, Montgomery RD, Wildish DM: Studies of pulmonary alveolar microlithiasis and pulmonary alveolar proteinosis. Am J Clin Path 1960; 34: 532-45.
97. Clark RB 3rd, Johnson FC: Idiopathic pulmonary alveolar microlithiasis. A case report and brief review of the literature. Pediatrics 1961; 28: 650-4.
98. Bunger P, Fassbender CW, Schuetze G: Zur microlithiasis alveolaris pulmonum. Fortschr Roentgenstr 1962; 97: 775-9.
99. Kamada T: Pulmonary alveolar microlithiasis. Hiroshima J Med Sci 1966; 15: 95-102.
100. Pomel'tsov KV, Timasheva ED, Dobycheina AI: Four cases of microlithiasis alveolaris pulmonum. Probl Tuberk 1960; 38: 94-8.
101. Portnoy LM, Amadeo B, Hennigar GR: Pulmonary alveolar microlithiasis: an unusual case (associated with milk-alkali syndrome). Am J Clin Pathol 1964; 41: 194-201
102. Chinachoti N, Tangchai P: Pulmonary alveolar microlithiasis associated with the inhalation of snuff in Thailand. Dis Chest 1957; 32: 687-9.
103. Thomas T, Thomas E, Prusty S, Annapoorna S: "Snuff granuloma" of the lung. Report of a case. Dis Chest 1964; 46: 613-616, 5-80.
104. Yesner R; Pulmonary alveolar microlithiasis revisited. N Engl J Med 2003; 348: 84-5.
105. Ariole P, Bouquillard E, Bameon G, Amsallem F, Voisin M, Jean R: Microlithiase alveolaire de l'enfant. Apport du lavage bronco-alveolaire. Arch Fr Pediatr 1987; 44: 291-3.
106. Sharma SK, Pande JN, Verma K, Guleria JS: Bronchoalveolar lavage fluid (BALF) analysis in interstitial lung diseases - a 7 year experience. Indian J Chest Dis Allied Sci 1989; 31: 187-96.
107. Caputi M, Guarino C, Cautiero V, Castellano G, Perna A: Ruolo diagnostico del BAL nella microlitiasi endoalveolare. Arch Monaldi Mal Torace 1990; 45: 353-64.
108. Pracyk JB, Simonson SG, Young SL, Ghio AJ, Roggli VL, Pintadosi CA: Composition of lung lavage in pulmonary alveolar microlithiasis. Respiration 1996; 63: 254-60.
109. Moran CA, Hochholzer L, Hasleton PS, Johnson FB, Koss MN: Pulmonary alveolar microlithiasis. A clinicopathologic and chemical analysis of seven cases. Arch Pathol Lab Med 1997; 121: 607-11.
110. Singh NK, Gupta A: Pulmonary alveolar microlithiasis. J Assoc Physicians India 1995; 43: 647-8.
111. Chang YC, Yang PC, Luh KT, Tsang YM, Su CT: High-resolution computed tomography of pulmonary alveolar microlithiasis. J Formos Med Assoc 1999; 98: 440-3.
112. Hoshino H, Koba H, Inomata Sl, et al: Pulmonary alveolar microlithiasis: high-resolution CT and MR findings. J Comput Assist Tomogr 1998; 22: 245-8.
113. Brown ML, Swee RG, Olson RJ, Bender CE: Pulmonary uptake of 99mTc diphosphonate in alveolar microlithiasis. Am J Roentgenol 1978; 131: 703-4.
114. Coolens JL, Devos P, De Roo M: Diffuse pulmonary uptake of 99mTc bone-imaging agents: case report and survey. Eur J Nucl Med 1985; 11: 36-42.
115. Desche P, Epardeau B, Tainturier C, Caubarrere I: Diagnostic non invasif de la microlithiase alveolaire par la scintigraphie aux Tc99m-MDP et le lavage alveolaire. Rev Mal Respir 1987; 4: 137-9.
116. Garty I, Giladi N, Flatau E: Bone scintigraphy in two siblings with pulmonary alveolar microlithiasis. Br J Radiol 1985; 58: 763-6.
117. Mittal BR, Grupta D, Jindal SK: Radioisotope bone scanning in pulmonary alveolar microlithiasis. Clin Nucl Med 2000; 25: 474-5.
118. Padhy AK, Sharma SK, Vijayaraghavan M, Gopinath PG: Role of bone scanning in pulmonary alveolar microlithiasis. Report of two cases. Clin Nucl Med 1991; 16: 458-60.
119. Shigeno C, Fukunaga M, Morita R, Maeda H, Hino M, Torizuka K: Bone scintigraphy in pulmonary alveolar microlithiasis: a comparative study of radioactivity and density distribution. Clin Nucl Med 1982; 7: 103-7.
120. Hashimoto S, Ishida H, Kajikawa K, Yamada M: Two cases occurring in a family of microlithiasis alveolaris pulmonum misdiagnosed as miliary tuberculosis. Shonika Rinsho 1959; 12: 24-9.
121. al-Kubaisi W, al-Alwan N, al-Nu'aimi K: Pulmonary alveolar microlithiasis: an overlooked disease in Iraq. East Mediterr Health J 2000; 6: 1130-5.