Rapid increase in the height and width of the upper chest in adolescents with primary spontaneous pneumothorax

Pei Yeh Chang*, Kin Sun Wong, Jin Yao Lai, Jeng Chang Chen, Tai Wai Chin, Ke Chi Chen, Chao Jan Wang, Chee Jen Chang, Wen Ming Hsu, Nien Lu Wang

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

15 Scopus citations


Background We determined the chest height in a cohort of patients with primary spontaneous pneumothorax (PSP) who had received chest radiographic examinations prior to the attack. The aim of this study was to determine when their chest height began to change and how this was related to the PSP. Methods From June 2009 to February 2012, the chest posteroanterior radiographs of 156 patients with PSP (Group 1) were reviewed. Among another 3134 patients with PSP, we identified 52 patients who had a chest posteroanterior radiograph prior to the attack (Group 2). We also recruited 196 controls for comparison (Group 3). The chest height and chest width at different levels were measured and analyzed. Results Before 14 years of age, the chest height of patients in Group 2 was no different from that of patients in Group 3. By the age of 14 years, however, the chest height and upper chest width of patients with PSP was significantly higher than that of the normal controls. The difference from normal chest height did not increase at adulthood. Conclusion The rapid increase in chest height and upper chest width is a unique finding in patients with PSP. It might be attributable to the occurrence of PSP. This finding may also help to identify patients who are at risk of PSP.

Original languageEnglish
Pages (from-to)53-57
Number of pages5
JournalPediatrics and Neonatology
Issue number1
StatePublished - 01 02 2015

Bibliographical note

Publisher Copyright:
Copyright © 2014, Taiwan Pediatric Association. Published by Elsevier Taiwan LLC. All rights reserved.


  • adolescents
  • anthropometry
  • primary spontaneous pneumothorax
  • radiography
  • thoracic wall


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