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A correction has been published: N Engl J Med 1995;332(21):1455.

Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 330:1300-1306 May 5, 1994 Number 18
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Case 18-1994— A 37-Year-Old Woman with Interstitial Lung Disease, Renal Masses, and a Previous Spontaneous Pneumothorax
Barry D. Fuchs, and Eugene F. Mark

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Presentation of Case

A 37-year-old woman was admitted to the hospital because of chronic interstitial lung disease and a history of spontaneous pneumothorax.

The patient had been in good health until 4 1/2 years earlier, when she had chest pain and was found to have a spontaneous left pneumothorax, which resolved without treatment. Subsequent radiographs of the chest showed no evidence of parenchymal lung disease. During the next four years the patient had several episodes of similar chest pain, which resolved spontaneously within a few days.

Five months before entry she experienced the abrupt onset of severe, nonpleuritic pain in the left anterior . . . [Full Text of this Article]

Differential Diagnosis

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Dr. Barry D. Fuchs's Diagnosis

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Related Letters:

Case 18-1994: Tuberous Sclerosis
Neumann H. P.H., Burton M. D.
Extract | Full Text  
N Engl J Med 1994; 331:813-814, Sep 22, 1994. Correspondence

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