raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:60025

Pulmonary alveolar microlithiasis

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive, Not applicable
Age of onset
All ages
Status
active

A rare genetic respiratory disease characterized by widespread intra-alveolar accumulation of minute calcium phosphate microliths, leading to pulmonary fibrosis, pulmonary hypertension, and chronic respiratory failure. Age of onset is highly variable, and most patients are asymptomatic for years or decades, before signs and symptoms like dyspnea on exertion, dry cough, chest pain, hemoptysis, or finger clubbing develop. The disease takes a long-term progressive course. Routine chest radiographs typically show a fine, ''sandstorm-like'' micronodular pattern that is more pronounced in the bases than in the apices.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enPulmonary alveolar microlithiasis
frMicrolithiase pulmonaire alvéolaire
deMikrolithiasis, alveoläre pulmonale
esMicrolitiasis alvéolo-pulmonar
itMicrolitiasi alveolare polmonare
nlPulmonale alveolaire microlithiasis
ptMicrolitíase alveolar pulmonar
plKamica pcherzyków płucnych
csPlicní alveolární mikrolitiáza
ukЛегеневий альвеолярний мікролітіаз
zh肺泡微石症
trPulmoner alveolar mikrolitiyazis

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM265100Evalidated
ICD-10J84.0NTBTinclusionvalidated
ICD-11CB06Especificvalidated
MONDO0009928Evalidated
MeSHC562405Evalidated
UMLSC0155912Evalidated
GARD11894Evalidated
MedDRA10037315Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
SLC34A2Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:11020ENSG000001577656042174p15.2solute carrier family 34 member 220046000[PMID]_23164546[PMID]
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

43 annotations · validated 2021-09-09
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0100749Chest pain
HP:0002094Dyspnea
HP:0012378Fatigue
HP:0032094Increased circulating surfactant protein level
HP:0005317Increased pulmonary vascular resistance
HP:0031246Nonproductive cough
HP:0030874Oxygen desaturation on exertion
HP:0002091Restrictive ventilatory defect
Occasional (29-5%)
HP:0002110Bronchiectasis
HP:0100759Clubbing of fingers
HP:0000961Cyanosis
HP:0002875Exertional dyspnea
HP:0003473Fatigable weakness
HP:0002105Hemoptysis
HP:0002240Hepatomegaly
HP:0012418Hypoxemia
HP:0030879Interlobular septal thickening on pulmonary HRCT
HP:0012398Peripheral edema
HP:0031944Pleural thickening
HP:0002107Pneumothorax
HP:0002113Pulmonary infiltrates
HP:0002093Respiratory insufficiency
HP:0001708Right ventricular failure
HP:0025178Subpleural interstitial thickening
HP:0002789Tachypnea
HP:0001824Weight loss
Very rare (<4-1%)
HP:0012387Bronchitis
HP:0004963Calcification of the aorta
HP:0004724Calcium nephrolithiasis
HP:0000144Decreased fertility
HP:0010766Ectopic calcification
HP:0001945Fever
HP:0008703Gonadal calcification
HP:0025179Ground-glass opacification on pulmonary HRCT
HP:0000790Hematuria
HP:0004382Mitral valve calcification
HP:0002206Pulmonary fibrosis
HP:0002878Respiratory failure
HP:0011947Respiratory tract infection
HP:0004241Stippled calcification in carpal bones
HP:0012215Testicular microlithiasis
Excluded (0%)
HP:0100529Abnormal blood phosphate concentration
HP:0004363Abnormal circulating calcium concentration

Annotation source: 33246992[PMID]_32964001 [PMID]

7

Sources for this card