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J Korean Soc Emerg Med > Volume 26(4); 2015 > Article
Journal of The Korean Society of Emergency Medicine 2015;26(4): 331-336.
천식 악화로 자발성 종격동기종이 발생한 새로이 진단된 천식 2례
이주영, 윤상원, 구강모, 김진세, 최재철, 신종욱, 김재열, 박인원, 최병휘, 정재우
중앙대학교 의과대학 내과학교실
Two Cases of Newly Diagnosed Asthma with Spontaneous Pneumomediastinum During Asthma Exacerbation
Joo Young Lee, Sang Won Yoon, Kang Mo Gu, Jin Se Kim, Jae Chol Choi, Jong Wook Shin, Jae Yeol Kim, In Won Park, Byoung Whui Choi, Jae-Woo Jung
Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea
Correspondence  Jae-Woo Jung ,Tel: 02) 6299-1437, Fax: 02) 825-7571, Email: jwjung@cau.ac.kr,
Received: April 3, 2015; Revised: April 7, 2015   Accepted: June 10, 2015.  Published online: August 31, 2015.
ABSTRACT
Pneumomediastinum, a condition in which air is present in the mediastinum, is generally regarded as a benign, self-limited process. Rare life-threatening causes such as esophageal rupture must be excluded. A 26-year-old woman with allergic rhinitis presented with a 3-day history of increasing dyspnea, wheezing, and chest pain. Her high resolution CT (HRCT) showed extensive pneumomediastinum and subcutaneous emphysema without visible airway injury on the CT scan. With application of oxygen through a nasal cannula, bronchodilator inhalation, and systemic steroids, her pneumomediastinum and asthma symptoms were improved. A 30-year-old man with acute exacerbation of newly diagnosed asthma and spontaneous pneumomediastinum was treated with application of oxygen and asthma medication. Here, we reported two cases of newly diagnosed asthma with spontaneous pneumomediastinum during asthma exacerbation.
Key words: Asthma, Pneumomediastinum, Subcutaneous emphysema
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