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J Gen Fam Med. 2021 Feb 16;22(4):218-220. doi: 10.1002/jgf2.426. eCollection 2021 Jul.

A sudden decrease in voice volume: A rare manifestation of spontaneous pneumomediastinum.

Journal of general and family medicine

Seigo Urushidani, Akira Kuriyama

Affiliations

  1. Emergency and Critical Care Center Kurashiki Central Hospital Okayama Japan.

PMID: 34221796 PMCID: PMC8245747 DOI: 10.1002/jgf2.426

Abstract

Spontaneous pneumomediastinum (SPM) is a rare condition characterized by free air in the mediastinum that primarily affects young individuals between the ages of 10 and 30 years. The most frequent symptoms of SPM are chest pain and dyspnea. However, a decrease in voice volume without a change of tone is a rare presentation. SPM is generally a benign and self-limiting condition, but it can occasionally cause tension pneumothorax. If a young patient presents with a sudden decrease in voice volume without a change of tone, SPM should be considered as a possible diagnosis.

© 2021 The Authors. Journal of General and Family Medicine published by John Wiley & Sons Australia, Ltd on behalf of Japan Primary Care Association.

Keywords: chest X‐ray; computed tomography; dysphonia; mediastinal emphysema; pneumomediastinum

Conflict of interest statement

All authors have no conflict of interest to declare.

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