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Postgraduate Education Corner: Pulmonary, Critical Care, and Sleep Pearls |

A 67-Year-Old Woman With Asthma, Word Finding Difficulty, and an Abnormal Chest RadiographWoman With Aphasia and Radiograph Abnormality

Kelly Chugg, BM BS; Vinod Aiyappan, MD; Jeffrey Bowden, MD
Author and Funding Information

From the Flinders School of Medicine (Dr Chugg), Flinders University; and Department of Respiratory Medicine (Drs Aiyappan and Bowden), Flinders Medical Centre, Bedford Park, SA, Australia.

Correspondence to: Kelly Chugg, BM BS, Flinders School of Medicine, Flinders University, Sturt Rd, Bedford Park, SA, 5042, Australia; e-mail: chug0007@flinders.edu.au


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;143(3):862-865. doi:10.1378/chest.12-1130
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Extract

A 67-year-old woman presented to the ED of a tertiary hospital with sudden onset of difficulty expressing words, associated with a frontal headache. She reported general malaise, muscle weakness, and a persistent abnormal sensation in her legs in the preceding couple of weeks. These symptoms presented on a background of refractory asthma, which had been diagnosed in early childhood. She had been on maintenance therapy of 10 mg prednisolone daily (which she titrated based on her exacerbations), in addition to fluticasone/salmeterol 250 μg/50 μg metered-dose inhaler, two puffs bid. There was no history of rhinosinusitis or nasal polyposis. Two years prior, she had an episode of amaurosis fugax, which was treated as temporal arteritis (no histology was undertaken), with oral steroids.

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