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Awide range of pulmonary pathology is attributed to aluminum dust exposure, including interstitial fibrosis, 1–5 desquamative interstitial pneumonia, 6 and pulmonary alveolar proteinosis. 7 To our knowledge, granulomatous lung disease induced by aluminum dust is rare, only two cases were reported in literatures. 8,9 We had the opportunity to make a diagnosis of pulmonary sarcoid-like

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