A 15-Year-Old Boy with Anterior Chest Pain, Progressive Dyspnea, and Subcutaneous Emphysema of the Neck
Joint Authors
Marchese, Margherita
Scichilone, Nicola
Spatafora, Mario
Camarda, Gaetana
Bellia, Maria
Buttacavoli, Maria
Source
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-02-01
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
We describe the case of an adolescent who was admitted to the hospital because of sudden occurrence of chest pain, dyspnea and subcutaneous emphysema.
On admission, physical examination revealed subcutaneous crepitations in the superior part of the rib cage, and auscultation of the chest showed widespread wheezing.
The radiological assessment confirmed the diagnosis of pneumomediastinum and pneumothorax.
A follow-up CT scan performed one week after the admission showed almost complete resolution of the radiological alterations.
At the following visits, the patient was asymptomatic, but reported to have suffered from frequent episodes of rhinorrea, sneezing, nasal blockage, and sometimes, chest tightness, especially during exposure to pets and/or windy weather.
Skin prick testing showed sensitivities to dermatophagoides pteronyssinus and farinae, grass pollen and dog dander.
Spirometry documented significant improvement in lung function after short-acting bronchodilator, allowing for the diagnosis of asthma to be made.
Although pneumomediastinum may be a complication of various respiratory diseases, including asthma, it has never been reported as the first presentation of underlying bronchial asthma.
Herein, the physiopathological mechanisms, the diagnostic procedures and treatment of pneumomediastinum in asthma are discussed.
We suggest that the diagnosis of asthma should be considered in the differential diagnosis of pneumomediastinum in adolescence.
American Psychological Association (APA)
Scichilone, Nicola& Buttacavoli, Maria& Camarda, Gaetana& Marchese, Margherita& Bellia, Maria& Spatafora, Mario. 2009. A 15-Year-Old Boy with Anterior Chest Pain, Progressive Dyspnea, and Subcutaneous Emphysema of the Neck. Journal of Allergy،Vol. 2009, no. 2009, pp.1-3.
https://search.emarefa.net/detail/BIM-476342
Modern Language Association (MLA)
Scichilone, Nicola…[et al.]. A 15-Year-Old Boy with Anterior Chest Pain, Progressive Dyspnea, and Subcutaneous Emphysema of the Neck. Journal of Allergy No. 2009 (2009), pp.1-3.
https://search.emarefa.net/detail/BIM-476342
American Medical Association (AMA)
Scichilone, Nicola& Buttacavoli, Maria& Camarda, Gaetana& Marchese, Margherita& Bellia, Maria& Spatafora, Mario. A 15-Year-Old Boy with Anterior Chest Pain, Progressive Dyspnea, and Subcutaneous Emphysema of the Neck. Journal of Allergy. 2009. Vol. 2009, no. 2009, pp.1-3.
https://search.emarefa.net/detail/BIM-476342
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-476342