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肺泡微结石症（PAM）合并精囊微结石症及严重少弱精子症：一例罕见散发病例报告

Microlithiasis of Seminal Vesicles and Severe Oligoasthenospermia in Pulmonary Alveolar Microlithiasis (PAM): Report of An Unusual Sporadic Case.

作者信息

Castellana Giuseppe, Carone Domenico, Castellana Marco

机构信息

District Health Center, ASL BA, via de Amicis, Conversano (70014), Bari, Italy.

Center of Human Reproduction and Andrology (CREA), Via Scoglio del Tonno 79/81, Taranto (74120), Italy.

出版信息

Int J Fertil Steril. 2015 Apr-Jun;9(1):137-40. doi: 10.22074/ijfs.2015.4218. Epub 2015 Apr 21.

DOI:10.22074/ijfs.2015.4218
PMID:25918602
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4410032/
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, com- puter tomography (CT), transbronchial biopsy and bronchoalveolar lavage (BAL).

摘要

肺泡微石症（PAM）被归类为一种选择性代谢紊乱性贮积性肺泡炎，其特征是在肺的肺泡内存在无数微小结石。胸部X线摄影的典型表现是两肺野弥漫性分布多个小的“沙样”混浊影，十分明确。我们报告一例年轻患者，因性欲减退和严重少弱精子症导致男性不育，该患者反复血尿，精囊有类似于肺微石的小钙化灶。通过常规胸部X线摄影、计算机断层扫描（CT）、经支气管活检和支气管肺泡灌洗（BAL）诊断为PAM。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0721/4410032/5623973eac32/Int-J-Fertil-Steril-9-137-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0721/4410032/9d60e615b4fa/Int-J-Fertil-Steril-9-137-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0721/4410032/9ed370a3ca13/Int-J-Fertil-Steril-9-137-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0721/4410032/b46f2dea92c2/Int-J-Fertil-Steril-9-137-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0721/4410032/5623973eac32/Int-J-Fertil-Steril-9-137-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0721/4410032/9d60e615b4fa/Int-J-Fertil-Steril-9-137-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0721/4410032/9ed370a3ca13/Int-J-Fertil-Steril-9-137-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0721/4410032/b46f2dea92c2/Int-J-Fertil-Steril-9-137-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0721/4410032/5623973eac32/Int-J-Fertil-Steril-9-137-g04.jpg

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Pulmonary alveolar microlithiasis: report on 576 cases published in the literature.肺泡微石症：文献中576例病例报告
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Pulmonary alveolar microlithiasis with epididymal and periurethral calcifications causing obstructive azospermia.
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Pulmonary Alveolar Microlithiasis.肺泡微石症
Clin Chest Med. 2016 Sep;37(3):441-8. doi: 10.1016/j.ccm.2016.04.007. Epub 2016 Jun 24.
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Int J Tuberc Lung Dis. 2004 Oct;8(10):1275.
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