ALB and tuberculosis: In cases of TB, there is an accumulation of inflammatory cells within the alveolar spaces causing the release of enzymes and cytokines, which cause damage to the alveolar basement membrane leading to the formation of hyaline membranes.13 Sharma et al.14 in their study have concluded that in TB patients, prolonged course of illness and/or decreased lymphocyte count and/or raised values of alanine transaminase (ALT), low platelet counts and serum albumin levels are all independent risk factors for the development of DAD.