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Undiagnosed Marfan's Syndrome Presenting with Primary Spontaneous Pneumothorax in a Young, Short, Nonsmoker Adult at
Harman Singh1, Ankur Verma2, Sanjay Jaiswal3
1Emergency Medical Officer, Department of Emergency Medicine, Max Super Speciality Hospital, Delhi, India, Corresponding Author, Orcid: https://orcid.org/0009-0005-4630-0695.
Abstract:
Marfan's syndrome is an autosomal dominant multisystem connective tissue disorder. It commonly presents with complications of aortic dissection, aortic root dilation, or mitral valve prolapse, or less likely with primary spontaneous pneumothorax (PSP) in the emergency department (ED). A 22-year-old male patient presented with undifferentiated chest pain to our ED. The patient was diagnosed with spontaneous pneumothorax, and further examination was suggestive of Marfan's syndrome. The patient was treated with intercostal tube placement and was advised to follow-up at a higher center for genetic testing. It would be prudent for ED physicians treating spontaneous pneumothorax to suspect, examine, and educate patients, guiding them to a confirmatory diagnosis.
Insights
Marfan syndrome, a connective tissue disorder, can manifest as primary spontaneous pneumothorax in the emergency department. Early recognition by ED physicians is crucial for timely diagnosis and management of this rare presentation.
Area of Science:
- Medical Genetics
- Cardiology
- Pulmonology
Background:
- Marfan syndrome is a genetic disorder affecting connective tissue.
- Common complications include aortic dissection and mitral valve prolapse.
- Primary spontaneous pneumothorax (PSP) is a less common but significant presentation.
Purpose of the Study:
- To highlight the importance of considering Marfan syndrome in patients presenting with PSP.
- To emphasize the role of emergency department physicians in early identification.
Main Methods:
- Case report of a 22-year-old male with chest pain.
- Diagnosis of spontaneous pneumothorax.
- Clinical suspicion and examination suggestive of Marfan syndrome.
Main Results:
- The patient was diagnosed with spontaneous pneumothorax.
- Further examination indicated Marfan syndrome.
- Intercostal tube placement was performed for treatment.
Conclusions:
- ED physicians should suspect Marfan syndrome in patients with PSP.
- Prompt examination and patient education are vital.
- Referral for genetic testing is recommended for confirmatory diagnosis.
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