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Postgraduate Education Corner |

Managing a Rare Condition Presenting With Intractable Hypoxemic Respiratory Failure*

Maxine E. Dexter, MD; Gregory P. Cosgrove, MD, FCCP; Ivor S. Douglas, MD, FCCP
Author and Funding Information

*From the Division of Pulmonary Sciences and Critical Care Medicine (Dr. Dexter), University of Colorado at Denver and Health Sciences Center, National Jewish Research and Medical Center (Dr. Cosgrove), and Denver Health Medical Center (Dr. Douglas), Denver, CO.

Correspondence to: Ivor S. Douglas, MD, Denver Health Medical Center, 777 Bannock St, MC 4000 Denver CO, 80204; e-mail: idouglas@dhha.org


Chest. 2007;131(1):320-327. doi:10.1378/chest.06-1573
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Extract

A47-year-old woman was transferred from an outside hospital for evaluation of progressive hypoxia. She was in her usual state of health until 8 months prior to transfer, when a flu-like illness developed from which “she never recovered.” Her initial predominant symptom was progressively worsening dyspnea on exertion; a dry cough developed later. She also reported episodes of palpitations associated with coughing, weight loss (subjective), and night sweats. She denied fever, hemoptysis, rash, and easy bruising/bleeding.


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