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Postgraduate Medical Journal 2002;78:689
© 2002 The Fellowship of Postgraduate Medicine

SELF ASSESSMENT QUESTION

Respiratory medicine

Bullous lungs: diverse aetiology

S Kolekar , P Sundaram , J M Joshi

Department of Respiratory Medicine, T N Medical College and BYL Nair Hospital, Mumbai 400008, India

Correspondence to:
Correspondence to:
Professor Joshi;
drjoshijm@email.com

Submitted 30 April 2002
Accepted 22 July 2002

Answers on p 692

The first 150 words of the full text of this article appear below.


CASE 1
A 26 year man, a non-addict, was referred to us as he had a right sided spontaneous pneumothorax. His past medical history included surgery done at the age of 12 years for bilateral inguinal hernia and aphakia of both eyes. On physical examination there was elasticity of skin over the abdomen. Cardiac examination revealed a systolic murmur over the apex.

Routine blood tests were within normal limits. Chest radiography revealed a right sided pneumothorax, which was treated with intercostal tube drainage after which his lung expanded completely. The underlying lungs revealed the presence of bilateral bullous change (fig 1Go); this was confirmed on high resolution computed tomography (HRCT), which showed extensive bilateral bullous disease, especially marked in left where bullae virtually replaced the lung parenchyma (fig 2Go). His {alpha}1-antitrypsin levels were 199 IU/l (normal 93–224). Spirometry showed obstructive airway disease with poor bronchodilator reversibility, and increased . . . [Full text of this article]


Relevant Article

Bullous lungs: diverse aetiology
Postgrad. Med. J. 2002 78: 692. [Extract] [Full Text] [PDF]





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