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    Spontaneos Pneumomediastinum After Persistent Cough in Asthmatic Patient: Case Report
    (2014) Kocak, Nagihan Durmus; Eyuboglu, Fusun Oner; 0000-0003-4028-2797; 0000-0002-5525-8207; AFM-4219-2022; AAR-4338-2020
    Spontaneous pneumomediastinum (SPM) is a clinical condition that is characterized by the presence of free air in the mediastinal space that is unrelated to trauma or medical procedure. Although SPM is a rare and generally benign condition, during the period of the status, life threatening complications can result such as tension pneumothorax, tension pneumomediastinum, pneumopericardium or acute upper airway obstruction. The patient who had persistent cough for a week and known asthma disease referred to the hospital with complaints of chest pain, dyspnea, and neck pain. Subcutaneous crepitation on the neck was the only pathological finding on physical examination. SPM and subcutaneous emphysema was detected on computed tomography of the chest. The patient was hospitalized with diagnosis of asthma, SPM and subcutaneous emphysema and discharged after 72 hours of hospital admission with successfully treated conservatively. We report this case because of this clinic condition is rare and serious complications may occur. In patients who have chest or neck pain, SPM must be in differential diagnosis when there are precipitating factors such as asthma attack or severe cough.
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    Effect of Inhaled Corticosteroid Treatment on Body Composition Parameters in Children with Asthma
    (2021) Koksal, Burcu Tahire; Yilmaz Ozbek, Ozlem
    Objective: Prolonged treatment with low doses of inhaled corticosteroids may affect the growth rate; however, limited data are currently available for body composition parameters in children with asthma. We examined whether treatment with inhaled corticosteroids has an effect on body mass index, basal metabolic rate, percentage body fat, obesity degree, fat mass, and muscle mass in children with mild asthma. Materials and Methods: The study was performed in 45 children with mild persistent asthma being treated with inhaled corticosteroids and 45 healthy controls. Body composition parameters; body mass index, percentage body fat, obesity degree, basal metabolic rate, body fat mass, muscle mass, and waist-hip circumferences were measured. Written questionnaires including duration of television/computer viewing, frequency of fast food consumption, and weekly physical activity were completed. Results: There was no difference in body composition parameters and waist-hip circumference measurements between the groups. A positive correlation was demonstrated between the duration of inhaled corticosteroid treatment and the percentage of body fat, muscle mass, fat mass, and hip circumference. When compared with healthy controls, a significant increase in the duration of television/ computer viewing and frequency of fast food consumption and a significant decrease in weekly physical activity were observed in children with asthma. Conclusion: Body composition parameters seem not to be affected in the inhaled steroid-using children with asthma. However, as the duration of inhaled corticosteroid treatment increased, the percentage of body fat, body fat mass, and hip circumference also increased. Children with asthma should be encouraged to increase physical activity and be recommended to decrease the duration of television/computer viewing.