A 7-year-old girl of Arabic origin by consanguineous parents presented
with a miliary pattern on chest x-ray. Transbronchial lung biopsy rev
ealed a histological diagnosis of pulmonary alveolar microlithiasis, a
condition rarely described in childhood. This report highlights the c
linical and radiological features, documents the transbronchial lung b
iopsy as a useful diagnostic procedure, and suggests a possible geneti
c etiology with autosomal recessive inheritance. (C) 1996 Wiley-Liss,
Inc.