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KMID : 0854720110310040307
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Korean Journal of Asthma, Allergy and Clinical Immunology
2011 Volume.31 No. 4 p.307 ~ p.310
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Spontaneous Pneumomediastinum and Subcutaneous Emphysema Complicated by Acute Exacerbation of Asthma
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Son Jung-Il
Kim Hyun-Soo
Choi Jae-Ho
Lee Eun-Jung
Choi Cheon-Woong
Kim Yee-Hyung
Yoo Jee-Hong
Jang Won-Seok
Paik Seung-Sook
Park Myung-Jae
Kang Hong-Mo
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Abstract
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Background:Spontanous pneumomediastinum is an uncommon disease that is defined as the nontraumatic presence of free air in the mediastinum without any apparent underlying disease. Asthma is one of the most common health problems, and spontanous pneumomediastinum occurs as a rare complication of acute exacerbation of asthma.
Case History:A 29-year-old man with asthma was admitted to the hospital with acute exacerbation of asthma. His respiratory rate was 14 min, and arterial oxgen saturation was 90% at room air. Chest X-ray shows pneumomediastinum
and subcutaneous emphysema.
Results:He was treated conservatively with oxygen and intravenous steroid therapy, and his clinical conditions improved. Subcutaneous emphysema and pneumomediastinum disappeared during the follow-up period.
Conslusion:Spontaneous pneumomediastinum complicated by asthma exacerbation is usually self-limiting and well controlled with conservative management, but this condition can be potentially life threatening.
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KEYWORD
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Bronchial asthma, Mediastinal emphysema, Subcutaneous emphysema
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