CORRESPONDENCE An 86-yr-old female with lymphangioleiomyomatosis To the Editors:

In the paper by JOHNSON [1] on lymphangioleiomyomatosis, he describes the typical patient being female and of child-bearing age. Although patients outside this age range have been described, the oldest recorded in the recently reported National Heart, Lung and Blood Institute registry was aged 76 yrs, the mean age of onset being 38.9 yrs [2]. We wish to report a case of lymphangioleiomyomatosis in an 86-yr-old female who presented with acute breathlessness on a background of increasing dyspnoea over a 3-yr period. She had been told that she had chronic obstructive pulmonary disease 2 yrs prior to this presentation, despite having never smoked. At the time of admission she was taking regular nebulised salbutamol but no other respiratory medications. She had previously undergone resective surgery for breast carcinoma and was on continuing treatment with anastrazole. Severa