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There has been a single case report of recurrent pneumothorax in a 26-year-old man with a non-Duchenne muscular dystrophy on nasal intermittent positive pressure ventilation who had subpleural blebs .
In the early stages of the disease the alveolar walls appear perfectly normal while in the later stages, fibrosis of the alveolar wall with blebs and bullae is common.
A few cells have numerous tiny blebs on the cell membrane and orange nuclei colored with EtBr, which indicates some disturbance of the plasma membrane permeability.
A chest CT scan revealed blebs , and the static lung compliance was elevated, suggesting early emphysema.
Bullae or blebs were identified and grasped with an empty sponge stick.
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