Pulmonary artery aneurysm and tuberous sclerosis
- Queens Medical Centre, University Hospital, Nottingham, UK; nicolajb@doctors.net.uk
A 52 year old woman with tuberous sclerosis (TS) was referred with an abnormality on the chest radiograph. In her teens she had had a cyst removed from the right upper lobe, the histology of which was consistent with lymphangioleiomyomatosis (LAM). She was a life long non-smoker.
At presentation she described breathlessness on exertion and intermittent right sided chest pain. Examination revealed cutaneous evidence of TS (adenoma sebaceum, cervical skin tags, and subungal fibromas). A right sided thoracotomy scar was visible; further examination of the chest was normal with no bruits …
