TY - JOUR T1 - Recurrent pneumothorax, skin lesions and frequent urination JF - Breathe JO - Breathe DO - 10.1183/20734735.0318-2019 VL - 16 IS - 1 SP - 190318 AU - Kunal Deokar AU - Ram Niwas AU - Nishant Chauhan AU - Naveen Dutt AU - Priyank Jain AU - Shahir Asfahan AU - Rajani Kumawat Y1 - 2020/03/01 UR - http://breathe.ersjournals.com/content/16/1/190318.abstract N2 - A 25-year-old male is admitted with complaints of dry cough for the past 5 years, and increased thirst, urinary frequency and output for the past 18 months. He also complains of shortness of breath on climbing a flight of stairs, and itchy lesions on the scalp and back for the past 2–3 months. There is no history of bone pain or abdominal pain. He has history of bilateral recurrent pneumothoraxes, twice on the right and once on the left side, in the past month. Pleurodesis with povidone iodine is performed on left side and the patient is transferred to your hospital with persistent right pneumothorax with air leak, with an intercostal drainage tube in situ. The patient is a never-smoker with no family history of pneumothorax. On general examination, he has small papules, 1–2 mm in diameter, with scaling over scalp and back. Onycholysis, onychoschisis and subungual splinter haemorrhages are present (figure 1).The causes of cystic lung diseases are varied. Proper evaluation is required for appropriate management. http://bit.ly/37J7dvE ER -