Spontaneous Pneumothorax Secondary to Lymphangioleiomyomatosis

Lymphangioleiomyomatosis (LAM) is a rare cystic lung disease presenting primarily in women of child-bearing age. It can occur sporadically or in association with tuberous sclerosis. Here, we discuss the case of a 29-year-old woman on oral contraceptive pills (OCPs) for years, who presented with sudd...

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Main Authors: Franshisca Hayek, Leonel Al Dakar, Liam Coyne, Rupali Sood, Michelle Sharp
Format: Article
Language:English
Published: American College of Physicians 2025-06-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2024.1009
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author Franshisca Hayek
Leonel Al Dakar
Liam Coyne
Rupali Sood
Michelle Sharp
author_facet Franshisca Hayek
Leonel Al Dakar
Liam Coyne
Rupali Sood
Michelle Sharp
author_sort Franshisca Hayek
collection DOAJ
description Lymphangioleiomyomatosis (LAM) is a rare cystic lung disease presenting primarily in women of child-bearing age. It can occur sporadically or in association with tuberous sclerosis. Here, we discuss the case of a 29-year-old woman on oral contraceptive pills (OCPs) for years, who presented with sudden-onset chest pain and dyspnea found to have a pneumothorax. Serologic testing confirmed a diagnosis of LAM. An early diagnosis can lead to earlier treatment with sirolimus, which can improve lung function and survival among those with LAM.
format Article
id doaj-art-9b98309cc4294b7fa77b7044afd47d2b
institution DOAJ
issn 2767-7664
language English
publishDate 2025-06-01
publisher American College of Physicians
record_format Article
series Annals of Internal Medicine: Clinical Cases
spelling doaj-art-9b98309cc4294b7fa77b7044afd47d2b2025-08-20T03:21:34ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642025-06-014610.7326/aimcc.2024.1009Spontaneous Pneumothorax Secondary to LymphangioleiomyomatosisFranshisca Hayek0Leonel Al Dakar1Liam Coyne2Rupali Sood3Michelle Sharp41Johns Hopkins University School of Medicine, Baltimore, Maryland1Johns Hopkins University School of Medicine, Baltimore, Maryland2Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland2Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland2Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MarylandLymphangioleiomyomatosis (LAM) is a rare cystic lung disease presenting primarily in women of child-bearing age. It can occur sporadically or in association with tuberous sclerosis. Here, we discuss the case of a 29-year-old woman on oral contraceptive pills (OCPs) for years, who presented with sudden-onset chest pain and dyspnea found to have a pneumothorax. Serologic testing confirmed a diagnosis of LAM. An early diagnosis can lead to earlier treatment with sirolimus, which can improve lung function and survival among those with LAM.https://www.acpjournals.org/doi/10.7326/aimcc.2024.1009
spellingShingle Franshisca Hayek
Leonel Al Dakar
Liam Coyne
Rupali Sood
Michelle Sharp
Spontaneous Pneumothorax Secondary to Lymphangioleiomyomatosis
Annals of Internal Medicine: Clinical Cases
title Spontaneous Pneumothorax Secondary to Lymphangioleiomyomatosis
title_full Spontaneous Pneumothorax Secondary to Lymphangioleiomyomatosis
title_fullStr Spontaneous Pneumothorax Secondary to Lymphangioleiomyomatosis
title_full_unstemmed Spontaneous Pneumothorax Secondary to Lymphangioleiomyomatosis
title_short Spontaneous Pneumothorax Secondary to Lymphangioleiomyomatosis
title_sort spontaneous pneumothorax secondary to lymphangioleiomyomatosis
url https://www.acpjournals.org/doi/10.7326/aimcc.2024.1009
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AT leonelaldakar spontaneouspneumothoraxsecondarytolymphangioleiomyomatosis
AT liamcoyne spontaneouspneumothoraxsecondarytolymphangioleiomyomatosis
AT rupalisood spontaneouspneumothoraxsecondarytolymphangioleiomyomatosis
AT michellesharp spontaneouspneumothoraxsecondarytolymphangioleiomyomatosis