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Subcutaneous Emphysema
Air as a Cause of Disease
MAJ Kurt L. Maggio, MC, USA;
2LT Chetan P. Maingi, MSC, USAR;
COL Purnima Sau, MC, USA
Arch Dermatol. 1998;134:557-559.
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REPORT OF A CASE
A 78-year-old white man with a 100 pack-year history of smoking and long-standing chronic obstructive pulmonary disease presented to the health clinic at the US Soldier's and Airmen's Home complaining of pain in his left arm and chest pain that worsened with arm movement. His medical history was also significant for chronic renal insufficiency, hypertension, hypothyroidism, and peripheral vascular disease. The presenting symptoms began earlier that day as a sore throat and dysphagia, which progressed to the point in which he had difficulty breathing and took several puffs of his albuterol inhaler, with some relief. On presentation to the US Soldier's and Airmen's Home clinic he was noted to have subcutaneous swelling of the chest, neck, and face. He also began to feel dyspneic and lightheaded and was then transferred to the emergency . . . [Full Text of this Article]
COMMENT
From the Dermatology Service, Walter Reed Army Medical Center, Washington, DC.
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