Does the pubertal growth affect the occurrence of primary spontaneous pneumothorax? (original) (raw)

European Respiratory Journal, 2016

Abstract

Aims and objectives: The incidence of primary spontaneous pneumothorax (PSP) is 6-7/100000 among all population. Although its etiology is unknown, it is thought to be occurring due to rupturation of bullae or bleb formations localized in apex of lung of tall and thin young adults. In this study, we aimed to evaluate the relation between puberty growth and PSP. Methods: The records of 246 patients who were treated for PSP between 2013-2015 were analyzed. A questionnaire designed by pediatric endocrinology specialists about puberty was performed to 80 patients who answered the recall for an outpatient control. Data about pubertal development and rate was collected. Results: The mean of age and length of patients (74 male, 6 female) were 26.05 ± 7.2 years (range 17 to 34 years) and 179.73 ± 7.2 cm (range, 165 to 197 cm), respectively. Although few number of female patients, their mean age of menarch was 14.50 years and it was higher than the mean age of menarch of Turkish females (12.20 years). The mean age of facial hair shaving of males was 16.81 ± 1.7 years (range, 13 to 22 years) and it was higher than the mean age, 14.9 years, that was reported for US population. After exclusion of females and smokers, the means of length and age of facial hair growing of 33 patients, were 181.09 cm and 16.76 years respectively. Twenty patients in this group described a rapid growth in length after age of 16 years compared to the others at the same age. Conclusions: In this study, it had been seen that the mean puberty age of PSP patients was higher than normal population and their pubertal growth attack was occured in a shorter period. We think that these factors effect the maturation of lung and cause to PSP.

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