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Embrace Simplicity When Treating Lady WindermereEmbrace Simplicity

Julie Jarand, MD; Stephen K. Field, MD, FCCP
Author and Funding Information

From the Division of Respirology, Department of Medicine, University of Calgary; and Tuberculosis Services, Calgary Zone, Alberta Health Services.

CORRESPONDENCE TO: Stephen K. Field, MD, FCCP, Division of Respirology, Department of Medicine, University of Calgary and Alberta Health Services, Room 1437, Health Science Centre, 3330 Hospital Dr NW, Calgary, AB, T2N 4N1, Canada; e-mail: sfield@ucalgary.ca


FINANCIAL/NONFINANCIAL DISCLOSURES: The authors have reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

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


Chest. 2014;146(2):244-246. doi:10.1378/chest.14-0046
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The early reports of Mycobacterium avium complex (MAC) lung disease described a difficult-to-treat, primarily upper-lobe, fibrocavitary lung condition with radiologic features similar to those of pulmonary TB. The majority of affected patients were men with preexisting lung disease, usually COPD; previously treated TB; or an immunodeficiency.1 Prince and colleagues2 recognized that fibronodular bronchiectasis (FNB) was not an uncommon manifestation of MAC lung disease seen mostly in elderly, thin women who often were lifetime nonsmokers without preexisting lung disease.

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