Case of a 21-Year-Old Man With Hemoptysis, Recurrent Pneumothorax, and Cavitary Lung Lesions

Sang Yong Park; Ho Cheol Kim; Seongbong Wee; Yeon Joo Kim; Chae-Man Lim; Yong-Gil Kim; Geun Dong Lee; Seungjoo Lee; Hee Sang Hwang; Se Jin Jang; Beom Hee Lee; Won-Kyung Cho

doi:10.1016/j.chest.2020.08.2067

Case of a 21-Year-Old Man With Hemoptysis, Recurrent Pneumothorax, and Cavitary Lung Lesions

Chest. 2021 Jan;159(1):e13-e17. doi: 10.1016/j.chest.2020.08.2067.

Authors

Affiliations

¹ Department of Internal Medicine, University of Ulsan College of Medicine, Seoul, South Korea.
² Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
³ Department of Internal Medicine, Division of Rheumatology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
⁴ Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
⁵ Department of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
⁶ Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
⁷ Department of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, South Korea.
⁸ International Healthcare Center, Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea. Electronic address: [email protected].

PMID: 33422234
DOI: 10.1016/j.chest.2020.08.2067

Abstract

A 21-year-old man was admitted to our hospital with recurrent bilateral pneumothorax and hemoptysis. Three years earlier, he underwent coil embolization due to a subarachnoid hemorrhage caused by an intracerebral aneurysm rupture. Two months after the coil embolization, he underwent an emergent total colectomy due to a massive infarction of the colon. One year after the colectomy, he started to have recurrent hemoptysis, and a few months later, multiple episodes of bilateral pneumothorax that required a chest tube placement began to occur. Notably, he had a history of easy bruising. He was taking Depakote and aspirin to prevent seizure and thromboembolic complications, respectively, both of which he began taking after the coil embolization. He denied the use of any illicit drugs. The histories of his parents and sister were not remarkable.

Publication types

Case Reports

MeSH terms

Ehlers-Danlos Syndrome / complications*
Ehlers-Danlos Syndrome / diagnosis*
Ehlers-Danlos Syndrome / therapy
Hemoptysis / etiology*
Humans
Male
Pneumothorax / etiology*
Young Adult