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Thorax 2004;59:86 doi:10.1136/thx.2003.016634
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Pulmonary artery aneurysm and tuberous sclerosis

  1. N J Burrows,
  2. S R Johnson
  1. 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 …

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