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Pulmonary and Critical Care Pearls |

A 37-Year-Old Man With Severe COPD, Rash, and Conjunctivitis*

Eric Friskel, MD; Runi Foster, MD, FCCP
Author and Funding Information

*From the University of Florida College of Medicine, Division of Pulmonary Medicine, Gainesville, FL.

Correspondence to: Eric Friskel, MD, University of Florida College of Medicine, Division of Pulmonary Medicine, P.O. Box 100255, Gainesville, FL 32610-0225



Chest. 2000;118(5):1493-1495. doi:10.1378/chest.118.5.1493
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A 37 -year-old Hispanic man with a 20-pack-year smoking history presented with a 4-day history of worsening shortness of breath (SOB). The patient reported that he has had SOB for several years but has noticed a significant increase over the last 1.5 years. Due to the severity of his symptoms, he had to quit his job as a commercial fisherman.

The patient had several hospitalizations for presumed asthma exacerbations. The patient never required intubation. During these hospitalizations, he was treated with IV steroids and β-agonists with good responses.

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