Author/Authors :
Castellana، Giuseppe نويسنده District Health Center, ASL BA, via de Amicis, Conversano (70014), Bari, Italy , , Carone، Domenico نويسنده Center of Human Reproduction and Andrology (CREA), Via Scoglio del Tonno 79/81, Taranto (74120), Italy , , Castellana، Marco نويسنده University of Bari, Piazza Giulio Cesare 11, Bari (70124), Italy ,
Abstract :
Pulmonary alveolar microlithiasis (PAM) is classified as an elective dysmetabolic thesaurotic
pneumoalveolitis and characterized by the presence within the alveoli of the lungs
of myriad of tiny calculi. The classic presentation of the chest radiography is unmistakable
with multiple small "sand-like" opacities diffusely involving both lung fields.
We present a case of male infertility for hypoposia and severe oligoasthenospermia in a
young patient with recurrent haematuria and small calcifications in the seminal vesicles
similar to pulmonary microliths. PAM was diagnosed on routine chest radiography, computer
tomography (CT), transbronchial biopsy and bronchoalveolar lavage (BAL).