Chest Medicine Challenge-02, Case of The week ( 11may-17th may)

It is Friday and it is the time to test yourself. Here is the case of the week for 17th-24th may, please come back on Tuesday for answers..

A 45-year-old nonsmoking woman was referred for an opinion regarding management of recurrent pneumothorax. She was well until age 27 when she had a right-sided spontaneous pneumothorax. Two years later, she had another right-sided pneumothorax and underwent thoracotomy and stapling of the right lung apex. She has had no further episodes since that time. She is seeing a dermatologist for multiple facial papules, but otherwise, her general health is excellent. She denies any respiratory symptoms. Results of a physical examination are normal other than multiple skin-colored papules over the central face and nose. Results of a chest radiograph demonstrated right apical pleural thickening but were otherwise normal. A chest CT was performed and representative images are shown in Figures 138-A and 138-B. Her lung function was normal. The most likely diagnosis of this condition is:

A. Langerhans cell histiocytosis.
B. Lymphangioleiomyomatosis (LAM).
C. Sarcoidosis.
D. Birt-Hogg-Dubé syndrome (BHDS).

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The answer is D.Birt-Hogg-Dubé syndrome (BHDS).Read The complete Rationale Here