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Marfan syndrome with pleural effusion: a case report

Author: 
Dr. Deepika Joshi, Dr. Ashok Kumar Bairwa, Dr. Sourav Shristi and Dr. Mahima Panwar
Subject Area: 
Health Sciences
Abstract: 

Marfan syndrome is a rare autosomal dominant disorder of the connective tissue, with skeletal, ligamentous, orooculofacial, pulmonary, neurological and the most fatal, cardiovascular manifestations. Pulmonary involvement occurs less frequently. We report a case of a 26-year-old male suffering from hours of sudden onset, progressive shortness of breath and right-sided chest pain. On physical examination, he presented decreased breath sound on the right side of chest, together with marfanoid habitus. The chest X ray revealed right sided pleural effusion and pleural fluid was drained by thoracocentesis. This case indicates that pulmonary symptoms like spontaneous pleural effusion, pneumothorax, emphysema can manifest as initial symptoms of undiagnosed Marfan syndrome.

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