Pulmonary Alveolar Microlithiasis

Alternative Names

  • PAM
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WHO-ICD-10 version:2010

Diseases of the respiratory system

Other respiratory diseases principally affecting the interstitium

OMIM Number

265100

Mode of Inheritance

Autosomal recessive

Gene Map Locus

4p15.2

Description

Pulmonary alveolar microlithiasis is a rare idiopathic pneumopathy characterized by diffuse intra-alveolar deposits of calcium, in the form of tiny, roundish corpuscles called 'microliths'. The consition may progress over time, leading to pulmonary fibrosis, respiratory failure, and chronic pulmonary heart disease. 

Up to 50% of all reported cases have been familial. In affected families, PAM seems to follow an autosomal recessive mode of transmission. Recently, mutations in the gene Solute Carrier Family 34, Member 2 (SLC34A2), have been found to be causal of PAM. 

Epidemiology in the Arab World

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Other Reports

Kuwait

Lulu et al. (1996) reported the first four cases of PAM from Kuwait with varying presentations.

Al-Alawi (2006) described a Kuwaiti family with three brother affected by pulmonary alveolar microlithiasis.

Lebanon

Balikian et al. (1968) reported five cases in Beirut, including two pairs of brothers and an unrelated girl, with pulmonary alveolar microlithiasis.

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