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- ArticleBye PT, Gianoutsos P, Jelihovsky T, Clancy RL.Aust N Z J Med. 1979 Jun;9(3):302-5.A patient is described who presented with mixed obstructive and restrictive lung disease, shown to be due to deposition of amyloid in an alveolar-septal distribution. An association with a plasma cell dyscrasia and pulmonary tuberculosis is discussed, as is the need for early diagnosis and a trial of aggressive cytotoxic therapy in primary amyloidosis.