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04:44
Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
[Spontaneous pneumothorax associated with ankylosing spondylitis]
J El Ghoul1, N Rouetbi, S Joobeur
1Service de pneumologie et d'allergologie, CHU Fattouma Bourguiba, Monastir, Tunisia. j.elghoul@hotmail.fr
Revue De Pneumologie Clinique
|May 8, 2012
Summary
Ankylosing spondylitis can cause uncommon lung complications like apical fibrosis and pneumothorax. This case highlights the importance of recognizing these pleuropulmonary manifestations in AS patients.
Area of Science:
- Rheumatology
- Pulmonology
- Radiology
Background:
- Ankylosing spondylitis (AS) is a chronic inflammatory condition primarily affecting the axial skeleton.
- Pleuropulmonary involvement in AS is rare, with apical fibrosis and pleural thickening being common patterns.
Observation:
- A 62-year-old male with a history of AS presented with exertional dyspnea and was diagnosed with apical fibrosis.
- The patient later developed thoracic pain and a right partial pneumothorax, confirmed by CT scan.
Findings:
- The diagnosis of apical fibrosis was primarily based on radiological evidence.
- The pneumothorax resolved completely with conservative management including oxygen and rest.
Implications:
- This case underscores the potential for serious pleuropulmonary complications in ankylosing spondylitis.
- Early recognition and appropriate management of lung manifestations are crucial for AS patients.
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