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Iranian Journal of Otorhinolaryngology، جلد ۲۹، شماره ۲، صفحات ۱۱۳-۱۱۶
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| چکیده فارسی مقاله |
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| عنوان انگلیسی |
Subcutaneous Emphysema, Pneumomediastinum and Pneumothorax in a Patient with Dermatomyositis |
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| چکیده انگلیسی مقاله |
Introduction:Spontaneous pneumomediastinum, pneumothorax, and subcutaneous emphysema are rare, but serious complications of inflammatory myopathies and occur more commonly in DM than PM. complications of dermatomyositis (DM) and polymyositis (PM), both of which can be fatal. Case Report:A 20-year-old woman was admitted with neck pain, dyspnea, cough, and fever. She had been diagnosed with dermatomyositis 21 months prior. A thorax computed tomography (CT) scan revealed ground glass opacities in her lungs, pneumomediastinum, pneumothorax, and subcutaneous emphysema. Despite intensive immunosuppressive therapy, clinical deterioration and radiological progression were observed, ultimately the patient died. Conclusion:During the care for a patient with dermatomyositis, the otorhinolaryngologist should be cautious of rapidly progressive and fatal neck subcutaneous emphysema. For a patient with dermatomyositis and with normal bronchoscopy and esophagoscopy, the main treatment is control of dermatomyositis with medical therapy. Therefore, a tracheostomy and/or mechanical ventilation may not be necessary. |
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| نویسندگان مقاله |
مهدی بخشایی | mehdi bakhshaei
sinus and surgical endoscopic research center, faculty of medicine, mashhad university of medical sciences, mashhad, iran.
سازمان اصلی تایید شده: دانشگاه علوم پزشکی مشهد (Mashhad university of medical sciences)
محمد حسن جوکار | mohamad hasan jokar
department of otorhinolaryngology-head amp;amp; neck surgery, mashhad university of medical sciences, mashhad, iran.
سازمان اصلی تایید شده: دانشگاه علوم پزشکی مشهد (Mashhad university of medical sciences)
زهرا میر فیضی | zahra mir feizi
department of otorhinolaryngology-head amp;amp; neck surgery, mashhad university of medical sciences, mashhad, iran.
سازمان اصلی تایید شده: دانشگاه علوم پزشکی مشهد (Mashhad university of medical sciences)
الهام عتباتی | elham atabati
department of otorhinolaryngology-head amp;amp; neck surgery, mashhad university of medical sciences, mashhad, iran.
سازمان اصلی تایید شده: دانشگاه علوم پزشکی مشهد (Mashhad university of medical sciences)
سمیه طریقت | somayeh tarighat
department of otorhinolaryngology-head amp;amp; neck surgery, mashhad university of medical sciences, mashhad, iran.
سازمان اصلی تایید شده: دانشگاه علوم پزشکی مشهد (Mashhad university of medical sciences)
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| نشانی اینترنتی |
http://ijorl.mums.ac.ir/article_8287.html |
| فایل مقاله |
اشکال در دسترسی به فایل - ./files/site1/rds_journals/11/article-11-326421.pdf |
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| زبان مقاله منتشر شده |
en |
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