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A 41-Year-Old Woman With Shortness of Breath and History of Rash and Recurrent Laryngeal EdemaWoman With Dyspnea, Rash, and Laryngeal Edema

Ali Ataya, MD; Ibrahim Faruqi, MD, MPH; Juan C. Salgado, MD
Author and Funding Information

From the Division of Pulmonary and Critical Care Medicine, The University of Florida, Gainesville, FL.

CORRESPONDENCE TO: Ali Ataya, MD, 1600 SW Archer Rd, Division of Pulmonary and Critical Care, The University of Florida, PO Box 100225, Gainesville, FL, 32608; e-mail: aliataya@gmail.com


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


Chest. 2015;147(2):e44-e47. doi:10.1378/chest.14-1193
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A 41-year-old Hispanic woman with a 20 pack-year smoking history presented with worsening shortness of breath on exertion that gradually started 2 years ago, then significantly deteriorated over the last 4 months. She was diagnosed with COPD 2 months prior to her presentation and started on treatment with fluticasone propionate and albuterol. Her medical history was relevant for undifferentiated connective tissue disorder diagnosed 5 years prior due to a positive antinuclear antibody test, arthralgia, recurrent urticarial skin rash, peripheral neuropathy, abdominal pain, and diffuse body swelling. She was started on treatment with prednisone and azathioprine at the time and had substantial improvement in the occurrence of her urticaria. She also had a history of recurrent laryngeal edema of unclear etiology. She had no history of IV drug abuse, no exposure to animals, was not sexually active, and had no recent travel outside of Florida. There was no significant family history of lung diseases.

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