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Images in thorax
Sevelamer crystals in the bronchus: a case report
  1. Shroque Zaher1,
  2. Ahsan Ali2,
  3. Paul Babu3
  1. 1Department of Histopathology, Norfolk and Norwich University Hospital, Norwich, UK
  2. 2Department of Histopathology, Norfolk and Norwich NHS Trust, Norwich, UK
  3. 3Department of Respiratory Medicine, James Paget NHS Trust, Great Yarmouth, UK
  1. Correspondence to Dr Shroque Zaher, Department of Histopathology, Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UY, UK; drruki{at}

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An 80-year-old woman was admitted with a history of cough and gradually worsening shortness of breath of 3 months duration. Respiratory system examination revealed tracheal shift to the left, together with impaired percussion, diminished breath sounds and crackles at the left base. Her medical history included chronic renal failure for which she received haemodialysis three times a week. Her current medications included Sevelamer tablets 800 mg three times a day. The patient was on this particular medication for a period of 10 months prior to admission. There was no history of any …

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  • Contributors SZ wrote the abstract, microscopy, discussion and conclusion sections of the case report. AA diagnosed the case, supplied the photos and was responsible for overall review of the report. PB wrote the clinical history section of the report.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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