Curtis Jon, Wooles Nicola Rachel, Phillips David
Otolaryngology, Warwick Hospital, Warwick, UK
Otolaryngology, Warwick Hospital, Warwick, UK.
BMJ Case Rep. 2021 May 31;14(5):e232399. doi: 10.1136/bcr-2019-232399.
A 47-year-old woman presented to the emergency department with sudden onset of swelling in her face, which had been triggered by blowing her nose. She had no other symptoms, but was known to have Ehlers-Danlos syndrome. A CT confirmed bilateral subcutaneous facial emphysema attributed to a defect in her left nasal cartilage. The condition was managed conservatively with prophylactic antibiotics and self-resolved within 48 hours. Only eight cases of sudden facial subcutaneous emphysema following nose blowing or sneezing have been found in the English literature and this is the first known case in a patient with a connective tissue disorder. In this case, her condition is suspected to have contributed to her presentation and may be underlying in other similar cases.
一名47岁女性因擤鼻涕后突然面部肿胀而被送往急诊科。她没有其他症状，但已知患有埃勒斯-当洛综合征。CT证实双侧面部皮下气肿是由左鼻软骨缺损引起的。该病情通过预防性抗生素进行保守治疗，并在48小时内自行缓解。英文文献中仅发现8例因擤鼻涕或打喷嚏后出现的突发性面部皮下气肿病例，这是已知的首例结缔组织病患者出现这种情况。在本病例中，怀疑她的病情导致了此次发病，并且可能是其他类似病例的潜在病因。
