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Postgraduate Education Corner |

Wheezing and Exertional Dyspnea in a 25-Year-Old Mountaineer*

Robert L. Young, MD, PhD; John D. Mitchell, MD, FCCP; Carlyne Cool, MD; S. Patrick Nana-Sinkam, MD, FCCP
Author and Funding Information

*From the Division of Pulmonary Sciences and Critical Care Medicine (Drs. Young and Cool) and Department of Surgery (Dr. Mitchell), University of Colorado at Denver, Denver, CO; and Division of Pulmonary and Critical Care Medicine (Dr. Nana-Sinkam), Ohio State University College of Medicine, Columbus, OH.

Correspondence to: Robert L. Young, MD, PhD, Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado at Denver, 4200 East Ninth Ave, Box C272, Denver, CO 80262; e-mail: robert.young@uchsc.edu


Chest. 2008;133(3):820-825. doi:10.1378/chest.07-2531
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Extract

A 25-year-old woman presented for pulmonary consultation with a complaint of 18 months of progressive shortness of breath and wheezing. The patient engages in rock climbing, mountaineering, and skiing, and initially experienced dyspnea only with significant exertion at extreme altitude. Over the next several months, however, wheezing and a nonproductive cough developed. Given her history of mild exercise-induced asthma, the patient’s primary care provider recommended treatment with a short-acting bronchodilator. This provided no symptomatic relief.

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