Talc induced granulomatosis is rare and is mainly caused by injection of tablets intended for oral consumption.^1,2 We report a case of talc associated perivascular granulomatosis in the lung in an individual with no known history of intravenous drug use.

An obese 33 year old housewife was found dead in bed. She had a long, complex history of illness, with diagnoses of hypothyroidism and depression, and was treated privately for colitis, for which she underwent multiple surgical procedures. She was taking methadone tablets orally for chronic abdominal and back pain, in addition to venlafaxine, azathioprine, diazepam, temazepam, dosulepin (dothiepin), and frusemide. In the weeks before her death she had found it difficult to get about and spent most of her time …