Thank you for your query.
can present as recurrent attacks of lower respiratory tract
Ask your doctor to do a blood phosphorus and alkaline phosphatase
level and a Xray of the wrists.
should be more than 4 times the normal level to be alarmed.
If you have any further queries you are free to consult me.
Hope this answers your query.
Wishing a speedy recovery.
Have a nice day.