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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 47-Year-Old Woman With Rheumatoid Arthritis and Dyspnea on Exertion

Ilias C. Papanikolaou, MD; Om P. Sharma, MD, FCCP
Author and Funding Information

Affiliations: From the Division of Pulmonary and Critical Care (Drs. Papanikolaou and Sharma), Keck School of Medicine, University of Southern California, Los Angeles, CA; and Third Pulmonary Department (Dr. Papanikolaou), Sismanoglio General Hospital, Athens, Greece.

Correspondence to: Ilias C. Papanikolaou, MD, Room 11-900, LAC/USC Medical Center, 1200 N State St, Los Angeles, CA 90033, e-mail: hliaspapa@hotmail.com


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/site/misc/reprints.xhtml).


© 2009 American College of Chest Physicians


Chest. 2009;136(6):1694-1697. doi:10.1378/chest.09-1225
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Extract

A 47-year-old white woman came to the clinic complaining of dyspnea on exertion for the past few weeks. She had a cough with scanty whitish expectoration during the first week of her illness. She had rheumatoid arthritis (RA) for 34 years, and had been treated with corticosteroids, methotrexate, infliximab, and etanercept. Her condition had been stabilized for the past 5 years. Her medical history included thalassemia, gastroesophageal reflux disease, hypertension, hysterectomy, and bilateral knee replacements. Her medications included lisinopril and prednisone, 10 mg/d. Family history was not significant. The patient did not smoke and had not been exposed to any organic or inorganic dusts and fumes.

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