Recurrent Spontaneous Pneumothorax Revealing Marfan Syndrome: A Case Report
Hanane Benjelloun
Department of Pulmonology, CHU Ibn Rochd Casablanca, Morocco.
Safia Rachid
Department of Pulmonology, CHU Ibn Rochd Casablanca, Morocco.
Asmaa Rattal *
Department of Pulmonology, CHU Ibn Rochd Casablanca, Morocco.
Hanaa Harraz
Department of Pulmonology, CHU Ibn Rochd Casablanca, Morocco.
Nahid Zaghba
Department of Pulmonology, CHU Ibn Rochd Casablanca, Morocco.
Khadija Chaanoun
Department of Pulmonology, CHU Ibn Rochd Casablanca, Morocco.
Najiba Yassine
Department of Pulmonology, CHU Ibn Rochd Casablanca, Morocco.
*Author to whom correspondence should be addressed.
Abstract
The present study reports about recurrent spontaneous pneumothorax revealing Marfan syndrome. Marfan syndrome is a rare autosomal dominant disease that affects connective tissue and affects several organs, including the lung. It appears at a variable age and can be unrefined. This is a case of patient aged 16 years, eldest of two siblings, without toxic habits, treated for pulmonary tuberculosis confirmed bacteriologically 2 years ago and operated on 5 years ago for a left inguino-scrotal hernia. The patient presented to the department on day 7 after discharge following spontaneous stabbing left chest pain associated with dyspnea at the slightest effort. On clinical examination, there was a syndrome of air effusion in the left hemithorax. The frontal chest X-ray revealed a large total left pneumothorax which was drained. Lung involvement rarely modifies the respiratory functional prognosis. The occurrence of a pneumothorax is rarely a mode of entry into the disease, hence the interest in discussing the diagnosis in cases of recurrent spontaneous pneumothorax or thoracic deformation.
Keywords: Pneumothorax, chest X-ray, pulmonary tuberculosis, Marfan syndrome, aortic dilatation