Pulmonary Lymphangioleiomyomatosis and Role of Pleurodesis: Rare Case Reports
Published: March 1, 2021 | DOI: https://doi.org/10.7860/JCDR/2021/47655.14759
Kusum V Shah, Sonal Goyal, Saket Kumar, Arti D Shah, Yash Rana
1. Professor, Department of Respiratory Medicine, Smt. B.K. Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth Deemed to be University, Vadodara,
Gujarat, India.
2. Second Year PG Resident, Department of Respiratory Medicine, Smt. B.K. Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth Deemed to be
University, Vadodara, Gujarat, India.
3. Third Year PG Resident, Department of Respiratory Medicine, Smt. B.K. Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth Deemed to be
University, Vadodara, Gujarat, India.
4. Professor and Head, Department of Respiratory Medicine, Smt. B.K. Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth Deemed to be University,
Vadodara, Gujarat, India.
5. Assistant Professor, Department of Respiratory Medicine, Smt. B.K. Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth Deemed to be University,
Vadodara, Gujarat, India.
Correspondence
Dr. Sonal Goyal,
Room No. 90, Vama Hostel, Sumandeep Vidyapeeth, Vadodara-391760, Gujarat, India.
E-mail: sonalgoyal2093@gmail.com
Pulmonary Lymphangioleiomyomatosis (LAM) is a rare disease, mostly seen in women of reproductive age group. Most common presentation is dyspnoea on exertion, may be associated with haemoptysis and chest pain. LAM is a cystic lung disease, with a poor prognosis and is difficult to treat. In this case reports, we discussed two patients who presented with dyspnoea and chest pain due to pneumothorax and were later diagnosed as case of LAM on clinical and radiological basis. Intercostal Chest tube Drainage (ICD) was inserted for resolution of pneumothorax and subsequently pleurodesis was done to prevent recurrent pneumothorax. In case of recurrent pneumothorax, LAM should be considered as a differential diagnosis. Pleurodesis can be considered to prevent recurrent pneumothorax.
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