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Correspondence
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Volume 338:473-474 February 12, 1998 Number 7
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Pulmonary Lymphangiomyomatosis in a Preadolescent Girl

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To the Editor: A 12-year-old girl presented in 1996 with cough and dyspnea on exertion. A chest roentgenogram taken when she was three years old showed reticulonodular infiltrations that were interpreted as evidence of recurrent pneumonia. At the age of 10 years the chest roentgenogram showed bilateral patchy interstitial infiltrates with a reticular and vesicular pattern. The results of open-lung biopsy were initially interpreted as showing interstitial fibrosis and emphysema. Corticosteroid treatment resulted in symptomatic improvement, but the roentgenographic picture remained unchanged. Eight months later bilateral reticulonodular infiltrates and chylous effusion developed. A reappraisal of the open-lung–biopsy specimen and detailed . . . [Full Text of this Article]

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