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[The spontaneous mediastinal and skin emphysema]
Zeitschrift Fur Die Gesamte Innere Medizin Und Ihre Grenzgebiete
|July 15, 1975
Summary
Spontaneous mediastinal and skin emphysema can occur in young and older patients. Symptoms resolved within days with symptomatic treatment, suggesting effective management strategies for this rare condition.
Area of Science:
- Medicine
- Pulmonology
- Radiology
Background:
- Spontaneous mediastinal emphysema is a rare condition.
- It can occur in conjunction with skin emphysema.
Observation:
- Four patients presented with spontaneous mediastinal and skin emphysema.
- Three patients were young adults (14-21 years), and one was 63 years old.
- Two younger patients had a history of prolonged malnutrition.
Findings:
- Increased intrathoracic pressure (from retching, straining, or vomiting) is a potential trigger.
- Alveolar vessel vasoconstriction and nutritional deficiencies may play a role in pathogenesis.
- All patients experienced resolution of emphysema with symptomatic treatment.
Implications:
- This case series highlights potential contributing factors for spontaneous emphysema.
- Prompt symptomatic treatment appears effective for resolving mediastinal and skin emphysema.
- Further research into the underlying mechanisms, particularly in malnourished young individuals, is warranted.