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Rapid increase in the height and width of the upper chest in adolescents with primary spontaneous pneumothorax.

Abstract：

BACKGROUND:We determined the chest height in a cohort of patients with primary spontaneous pneumothorax (PSP) who had received chest radiographic examinations prior to the attack. The aim of this study was to determine when their chest height began to change and how this was related to the PSP. METHODS:From June 2009 to February 2012, the chest posteroanterior radiographs of 156 patients with PSP (Group 1) were reviewed. Among another 3134 patients with PSP, we identified 52 patients who had a chest posteroanterior radiograph prior to the attack (Group 2). We also recruited 196 controls for comparison (Group 3). The chest height and chest width at different levels were measured and analyzed. RESULTS:Before 14 years of age, the chest height of patients in Group 2 was no different from that of patients in Group 3. By the age of 14 years, however, the chest height and upper chest width of patients with PSP was significantly higher than that of the normal controls. The difference from normal chest height did not increase at adulthood. CONCLUSION:The rapid increase in chest height and upper chest width is a unique finding in patients with PSP. It might be attributable to the occurrence of PSP. This finding may also help to identify patients who are at risk of PSP.

journal_name

Pediatr Neonatol

journal_title

Pediatrics and neonatology

authors

Chang PY,Wong KS,Lai JY,Chen JC,Chin TW,Chen KC,Wang CJ,Chang CJ,Hsu WM,Wang NL

doi

10.1016/j.pedneo.2014.07.002

subject

Has Abstract

pub_date

2015-02-01 00:00:00

pages

53-7

issue

1

eissn

1875-9572

issn

2212-1692

pii

S1875-9572(14)00127-2

journal_volume

56

pub_type

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