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"Getting stuck with LAM": patients perspectives on living with lymphangioleiomyomatosis.
[lymphangioleiomyomatosis]
Lymphangioleiomyomatosis
(
LAM
)
is
a
rare
,
progressive
lung
disease
that
affects
almost
exclusively
women
and
is
most
often
diagnosed
before
menopause
.
The
main
symptom
of
LAM
is
shortness
of
breath
.
LAM
patients
'
perceptions
of
how
the
disease
impacts
their
lives
is
largely
unknown
,
but
such
information
could
be
useful
to
generate
patient
reported
outcome
measures
for
use
in
drug
trials
(
or
other
research
studies
)
and
to
formulate
interventions
aimed
at
easing
the
burdens
LAM
imposes
on
patients
.
To
capture
patients
'
perceptions
of
how
LAM
affects
their
lives
.
We
used
reflexive
team
analysis
to
analyze
transcripts
from
semi-structured
focus
groups
conducted
with
LAM
patients
at
LAMposium
2013
.
We
sought
to
determine
what
patients
perceive
as
the
primary
symptoms
of
LAM
and
how
the
disease
affects
them
in
their
daily
lives
.
The
37
participants
described
seven
primary
symptoms
of
LAM
and
five
common
psychological
experiences
from
living
with
the
disease
.
Shortness
of
breath
and
low
energy
(
or
fatigue
)
dominated
the
symptomatic
picture
;
cough
,
sensations
in
the
chest
,
difficulty
sleeping
,
gastrointestinal
issues
,
and
mild
cognitive
difficulties
were
less
common
.
The
common
psychological
experiences
participants
reported
included
frustration
,
worry
,
loss
of
identity
,
embarrassment
,
and
in
some
participants
,
a
healthy
defiance
against
the
disease
.
Patients
perceive
the
physical
symptoms
from
LAM
to
be
intrusive
and
limiting
.
Women
living
with
LAM
are
frustrated
by
their
physical
limitations
,
and
they
worry
about
what
the
future
will
be
like
if
the
disease
progresses
.
Therapeutic
interventions
should
take
aim
at
improving
these
perceptions
.
Diseases
Validation
Diseases presenting
"lymphangioleiomyomatosis"
symptom
lymphangioleiomyomatosis
proteus syndrome
This symptom has already been validated