Abstract
A 39-year-old smoker with Marfanoid habitus presented with sudden onset shortness of breath. The diagnosis of right-sided primary spontaneous pneumothorax was made. It was successfully managed by drainage with inter costal tube. Presence of Marfanoid phenotype and smoking will increase the risk of spontaneous pneumothorax.
Highlights
Pneumothorax occurring without any trauma or obvious precipitating factor is called spontaneous pneumothorax (SP) [1]
primary spontaneous pneumothorax (PSP) is commonly seen in chronic smokers and patients with Marfanoid habitus [1, 3]
We report a case of right-sided primary spontaneous pneumothorax in a chronic smoker with Marfanoid habitus
Summary
Pneumothorax occurring without any trauma or obvious precipitating factor is called spontaneous pneumothorax (SP) [1]. PSP is commonly seen in chronic smokers and patients with Marfanoid habitus [1, 3]. We report a case of right-sided primary spontaneous pneumothorax in a chronic smoker with Marfanoid habitus. There was no history of chest pain, cough or trauma to the chest. He is a chronic smoker (20 cigarette pack years). On examination he had Marfanoid features; height was 178.2 cm and arm span was 194 cm and arm span to height ratio was more than 1.05 (Figure 1). Wrist (Walker) and thumb (Steinberg) signs were positive. He had a long thin face, high arched palate, pectusexcavatum and arachnodactyly. No further recurrence of pneumothorax was observed during the follow up clinic visit
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