[Spontaneous pneumothorax - a clue to another diagnosis].

Abstract:

:Marfan syndrome is an autosomal dominant illness of the connective tissue, with typical skeletal, ocular and cardiovascular manifestations. Less frequently, pulmonary involvement occurs, namely spontaneous pneumothorax, which generally is recurrent and occurs in 4 -11% of cases. The authors describe a 14 -year -old boy, previously healthy, admitted with a unilateral spontaneous pneumothorax, and clinical phenotype of Marfan syndrome. The subsequent investigation led to the diagnosis of mitral valve prolapse and dilatation of the root of aorta. Pneumothorax resolved through active drainage and a computerised tomography scan excluded subpleural blebs. The patient was readmitted two months later with a new spontaneous pneumothorax, with an identical localization. Surgical resection of a newly identified enfisematous bleb and pleurodesis were performed. Two years later he is asymptomatic. We highlight the importance of an early diagnosis of and a multidisciplinary approach to these patients. Monitoring illness progression and prevention of serious complications, namely cardiovascular, are essential.

journal_name

Rev Port Pneumol

authors

Rocha S,Pereira L,Barreto C

doi

10.1016/s0873-2159(15)30279-8

subject

Has Abstract

pub_date

2008-09-01 00:00:00

pages

699-704

issue

5

eissn

0873-2159

issn

2172-6825

pii

S0873-2159(15)30279-8

journal_volume

14

pub_type

杂志文章
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    pub_type: 杂志文章

    doi:

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  • [Spontaneous hemothorax in a neurofibromatosis type I patient - a case report].

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  • Complicated pleural effusion in children - therapeutical approach.

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    pub_type: 杂志文章

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    pub_type: 杂志文章

    doi:

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    pub_type: 杂志文章,评审

    doi:

    authors: Marques A,Félix M,Barata F,Pires J,Estêvão MH

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  • [Lower lung field tuberculosis].

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