• Aviat Space Envir Md · Jun 1999

    Case Reports

    Hyperbaric chamber-related decompression illness in a patient with asymptomatic pulmonary sarcoidosis.

    • K Tetzlaff, M Reuter, J Kampen, and C Lott.
    • Naval Medical Institute of the German Navy, Kiel. kaytetz@rd.comcity.de
    • Aviat Space Envir Md. 1999 Jun 1; 70 (6): 594-7.

    AbstractAn asymptomatic 46-yr-old male sustained an acute neurologic insult, appearing during the decompression phase of a 50-m dry hyperbaric chamber dive. The right hemisyndrome was most probably related to diving, since symptoms responded rapidly to the early commenced recompression therapy. Further diagnostics revealed a previously unknown pulmonary sarcoidosis with bilateral pulmonary opacities and pleural adhesions that might have predisposed to arterial gas embolism secondary to pulmonary barotrauma. This case may illustrate a potential risk of decompression illness even during dry chamber dives in patients suffering from asymptomatic pleuro-parenchymal pulmonary disease. The value of chest X-ray in the medical assessment of fitness to dive is therefore emphasized.

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