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Pulmonary, Critical Care, and Sleep Pearls |

A 49-Year-Old Man With Cirrhosis and Pulmonary Fibrosis

Priyanka Rajaram, MD; Brent Little, MD; J.P. Norvell, MD; Morgan McLemore, MD; Srihari Veeraraghavan, MD, FCCP
Author and Funding Information

CORRESPONDENCE TO: Priyanka Rajaram, MD, Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, Emory University School of Medicine, 615 Michael St, Ste 205, Atlanta, GA 30322


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;149(2):e57-e60. doi:10.1016/j.chest.2015.06.010
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A 49-year-old man with a history of cryptogenic cirrhosis was referred to pulmonary clinic for evaluation prior to liver transplantation. Chest imaging obtained as part of the transplant workup had shown evidence of interstitial abnormalities. The patient noted shortness of breath on moderate exertion that was worsening over the past 2 to 3 years and associated with a nonproductive cough. He denied chest pain, chills, or fevers. His past medical history was significant for hypothyroidism. He did not have a history of alcohol consumption, smoking, or occupational exposures. He noted a family history of lung disease in his father and evidence of prominent clubbing in his sister and nephew. Workup for liver failure included a liver biopsy, which showed cirrhosis without evidence of autoimmune hepatitis.

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