A 50-year-old woman presented with multiple cutaneous lesions that had been present for many years (Figure 1a and 1b) similar to other family members. Her past history was significant for seronegative arthritis, juvenile rheumatoid arthritis, iron deficiency anaemia, menorrhagia and cholecystectomy. She had never smoked. Family history was significant for thyroid cancer in her mother. Computed Tomography (CT) scan of her thorax demonstrated multiple intraparenchymal pulmonary cysts and subpleural bullae bilaterally (Figure 1c and 1d).
