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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 21-Year-Old Man With Hemoglobin SC Disease and Acute Shortness of Breath With Left Upper Abdominal Pain*

Ariel Modrykamien, MD; Jaime Upegui, MD; Gopal Narayanswami, MD
Author and Funding Information

*From the Department of Medicine, St. Luke’s Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons, New, York, NY.

Correspondence to: Ariel Modrykamien, MD, Department of Medicine, St. Luke’s Roosevelt Hospital Center, 1111 Amsterdam Ave at 114th St, New York, NY 10025; e-mail: amodry@gmail.com



Chest. 2007;132(3):1084-1087. doi:10.1378/chest.07-0213
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Extract

A 21-year-old man with hemoglobin SC disease presented to the emergency department with backache and bilateral knee pain. The patient had been practicing sports for 2 h before symptoms started. The pain was sharp and severe in intensity, and it was localized to the thoracic spine and both knees. He went to the emergency department after 30 min of persistent pain. The patient had had two episodes of mild backache and knee pain as a child and remained asymptomatic ever since. The patient was not taking any medications on a regular basis.

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