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Pneumothorax in cystic fibrosis.
[allergic bronchopulmonary aspergillosis]
Pneumothorax
is
recognized
as
a
common
and
life-threatening
complication
in
cystic
fibrosis
(
CF
)
patients
,
especially
in
those
who
are
infected
with
P
.
aeruginosa
,
B
.
cepacia
or
Aspergillus
,
need
enteral
feeding
,
are
diagnosed
as
suffering
from
allergic
bronchopulmonary
aspergillosis
(
ABPA
)
,
developed
massive
hemoptysis
,
and
their
respiratory
function
is
seriously
compromised
.
Structural
impairment
and
altered
airflow
dynamics
in
the
lungs
of
CF
patients
are
considered
as
the
main
predisposing
factors
,
but
also
inhaled
medications
and
non-invasive
positive
pressure
ventilation
(
NIPPV
)
could
increase
the
risk
of
pneumothorax
.
Clinical
presentation
could
range
from
dramatic
to
very
mild
.
Management
of
spontaneous
pneumothorax
occurring
to
patients
with
CF
is
essentially
similar
to
that
for
non-
CF
patients
.
Therapeutic
options
include
intercostal
tube
drainage
,
video-assisted
thoracoscopic
surgery
(
VATS
)
,
and
medical
or
surgical
pleurodesis
.
Pneumothorax
increases
both
short
-
and
long
-term
morbidity
and
mortality
in
CF
patients
and
causes
significant
deterioration
of
their
quality
of
life
.
Diseases
Validation
Diseases presenting
"spontaneous pneumothorax"
symptom
allergic bronchopulmonary aspergillosis
cowden syndrome
lymphangioleiomyomatosis
This symptom has already been validated