Spontaneous primary pneumothorax as a complication of neurofibromatosis type 1

Neurofibromatosis type 1 (NF1) is a genetic disorder that affects the skin and the neurological, ocular and skeletal systems. Many are unaware of the extent of pulmonary involvement, including lung cysts and emphysematous bullae, which enhances the risk of secondary spontaneous pneumothorax (SSP). W...

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Main Authors: Mariana Guerra, Inês Farinha, Daniela Marado
Format: Article
Language:English
Published: SMC MEDIA SRL 2023-10-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/4046
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author Mariana Guerra
Inês Farinha
Daniela Marado
author_facet Mariana Guerra
Inês Farinha
Daniela Marado
author_sort Mariana Guerra
collection DOAJ
description Neurofibromatosis type 1 (NF1) is a genetic disorder that affects the skin and the neurological, ocular and skeletal systems. Many are unaware of the extent of pulmonary involvement, including lung cysts and emphysematous bullae, which enhances the risk of secondary spontaneous pneumothorax (SSP). We report the case of an 18-year-old male with NF1 who presented with acute dyspnoea and chest pain due to a right-sided pneumothorax caused by the rupture of lung apical bullae. The patient received supplemental oxygen and a chest tube of 18F was inserted, with a complete resolution of the pneumothorax. He was discharged on the third day of hospital stay. This case highlights the importance of considering SSP as a possible clinical manifestation and complication of NF1. Early recognition and appropriate management of this condition can prevent serious complications and improve patient outcomes.
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spelling doaj.art-bed5f6bcd03f4e7bb25dd95789d7013f2023-10-30T11:03:53ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942023-10-0110.12890/2023_0040463581Spontaneous primary pneumothorax as a complication of neurofibromatosis type 1Mariana Guerra0Inês Farinha1Daniela Marado2Department of Internal Medicine, Hospital and University Centre of Coimbra, Coimbra, PortugalDepartment of Pulmonology, Hospital and University Centre of Coimbra, Coimbra, PortugalDepartment of Internal Medicine, Hospital and University Centre of Coimbra, Coimbra, PortugalNeurofibromatosis type 1 (NF1) is a genetic disorder that affects the skin and the neurological, ocular and skeletal systems. Many are unaware of the extent of pulmonary involvement, including lung cysts and emphysematous bullae, which enhances the risk of secondary spontaneous pneumothorax (SSP). We report the case of an 18-year-old male with NF1 who presented with acute dyspnoea and chest pain due to a right-sided pneumothorax caused by the rupture of lung apical bullae. The patient received supplemental oxygen and a chest tube of 18F was inserted, with a complete resolution of the pneumothorax. He was discharged on the third day of hospital stay. This case highlights the importance of considering SSP as a possible clinical manifestation and complication of NF1. Early recognition and appropriate management of this condition can prevent serious complications and improve patient outcomes.https://www.ejcrim.com/index.php/EJCRIM/article/view/4046pneumothoraxneurofibromatosis type 1bullous lung disease
spellingShingle Mariana Guerra
Inês Farinha
Daniela Marado
Spontaneous primary pneumothorax as a complication of neurofibromatosis type 1
European Journal of Case Reports in Internal Medicine
pneumothorax
neurofibromatosis type 1
bullous lung disease
title Spontaneous primary pneumothorax as a complication of neurofibromatosis type 1
title_full Spontaneous primary pneumothorax as a complication of neurofibromatosis type 1
title_fullStr Spontaneous primary pneumothorax as a complication of neurofibromatosis type 1
title_full_unstemmed Spontaneous primary pneumothorax as a complication of neurofibromatosis type 1
title_short Spontaneous primary pneumothorax as a complication of neurofibromatosis type 1
title_sort spontaneous primary pneumothorax as a complication of neurofibromatosis type 1
topic pneumothorax
neurofibromatosis type 1
bullous lung disease
url https://www.ejcrim.com/index.php/EJCRIM/article/view/4046
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AT inesfarinha spontaneousprimarypneumothoraxasacomplicationofneurofibromatosistype1
AT danielamarado spontaneousprimarypneumothoraxasacomplicationofneurofibromatosistype1