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A 23- year- old man, presented to the emergency department with sudden dyspnea, without
another symptom. On examination he had hypoxemia, and abolished breath sounds in the
right lung. Skin evaluation revealed the presence of multiple small rounded papules
of white coloration with follicular accentuation, located in the upper dorsal region
of the thorax (Fig. 1A). Computed tomography (CT) of the chest showed right spontaneous pneumothorax and
multiple thin-walled cysts in both lungs (Fig. 1B).
Fig. 1A) Skin Fibrofolliculomas: several whitish dome-shaped papules on the back (arrows). B) Axial CT scan of the thorax demonstrates a pneumothorax in the right lung (black arrows) and bilateral multiple thin walled cysts (white arrows).
