Chest
Computed Tomography in the Etiologic Assessment of Idiopathic Spontaneous Pneumothorax
Section snippets
MATERIAL AND METHODS
Twenty patients with ISP were studied two months after the pneumothorax episode. The procedure included clinical examination, chest roentgenogram, serum α1-antitrypsin dosage8 with phenotype electrophoretic determination,9 pulmonary function tests, and CT scan. They were selected from a series of pneumothoraces according to the following criteria: age below 45 years; no respiratory history; normal chest roentgenogram (posteroanterior and lateral films) assessed by three independent readers; and
Clinical Data
Idiopathic spontaneous pneumothorax occurred on the left side in 11 patients and on the right side in nine. Ten patients had recurrent ISP (ipsilateral in eight). Recent effort was the possible cause of the pneumothorax in five patients; ISP occurred at rest in the others. Weight and height were within the standards of the Metropolitan Life Insurance Company19 for the two groups. Nevertheless, the mean weight was significantly lower in the ISP group than in the control group: 65.3 ± 8.2 kg vs
DISCUSSION
Idiopathic spontaneous pneumothorax occurs most often in young adults,20, 21, 22 predominantly in tall men.2, 23, 24 Many authors hypothesize that tall lungs play a part in the genesis of bullae, implicating an increase in the pulmonary distension pressure.25, 26 Peters et al24 and Kawakami et al27 noted that the lung height was greater in their ISP patients than in their controls. In the present study, the clinical observations fit well with the literature data. However, the patients’ mean
REFERENCES (33)
- et al.
Bilateral therapy for unilateral spontaneous pneumothorax
J Thorac Sur
(1957) - et al.
Diagnosis of pulmonary emphysema by computed tomography
Lancet
(1984) - et al.
Computed tomography in pulmonary emphysema
Clin Radiol
(1982) - et al.
Chest dimensions in young adults with spontaneous pneumothorax
Ann Thorac Surg
(1978) - et al.
Smoking and the increased risk of contracting spontaneous pneumothorax
Chest
(1987) - et al.
Pulmonary function in patients who have recovered from spontaneous pneumothorax
Dis Chest
(1965) - et al.
Regional lung function of non smokers with healed spontaneous pneumothorax: a physiologic and emission radiologic study
Chest
(1986) - et al.
Spontaneous pneumothorax in young subjects
Thorax
(1971) - et al.
The use of thin sections of entire organs in morbid anatomical studies
J R Micr Soc
(1949) - et al.
Quantitative CT scan can diagnose quantitative and locate pulmonary emphysema non invasively in humans
Respiration
(1986)
The diagnosis of emphysema: a CT-pathologic correlation
Am Rev Respir Dis
CT measurements of lung density in life can quantitative distal airspace enlargement: an essential defining feature of human emphysema
Am Rev Respir Dis
Immuno-chemical quantitation of antigens in single radial immunodiffusion
Immunochemistry
Electrophoretic micro-heterogeneity of serum alantitrypsin
Scand J Clin Lab Invest
Standardized Lung Function Testing—ECCS Working Party. Quanjer PH, ed
Bull Eur Physiopathol Respir
Normal lung function, prediction equations for adults
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