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

A 57-Year-Old Woman With Persistent Cough and Pulmonary NodulesWoman With Persistent Cough and Pulmonary Nodules

Jeffrey Albores, MD; Michael C. Fishbein, MD; Tisha Wang, MD
Author and Funding Information

From the Division of Pulmonary and Critical Care Medicine (Drs Albores and Wang), David Geffen School of Medicine at UCLA, and UCLA Pathology & Laboratory Medicine (Dr Fishbein), Los Angeles, CA.

Correspondence to: Jeffrey Albores, MD, Division of Pulmonary and Critical Care Medicine, David Geffen School of Medicine at UCLA, 37-131 CHS, 10833 Le Conte Ave, Los Angeles, CA 90095; e-mail: jalbores@mednet.ucla.edu


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


Chest. 2014;145(5):1162-1165. doi:10.1378/chest.13-1950
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Extract

A 57-year-old white woman presented to our pulmonary clinic with a 4-month history of a chronic nonproductive cough. The cough was persistent and severe. She noted shortness of breath and diffuse chest pain that occurred only during coughing. She previously used an angiotensin-converting enzyme inhibitor, but it had been stopped 2 months prior. She also reported fatigue, night sweats, and a 9 kg (20-lb) weight loss. She was a lifelong nonsmoker and denied any postnasal drip, gastroesophageal reflux symptoms, or history of asthma. She tried treatment with a proton pump inhibitor, azithromycin, benzonatate, and albuterol without significant relief. Results from a previous direct flexible laryngoscopy procedure were unremarkable.

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