A spontaneous tracheal rupture is rare and life-threatening. We postulate that long-term steroid administration is an under-reported risk factor. We present a case of an impending spontaneous tracheal rupture in a 51-year-old female with a significant medical history of systemic lupus erythematosus and interstitial lung disease. and a drug history of chronic steroid intake for 9 months. https://www.bekindtopets.com/great-choice-Stable-SuperFork-Muck-Fork-Replacement-Heads-special-save/