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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 335:266-273 July 25, 1996 Number 4
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Case 23-1996— A 62-Year-Old Woman with Progressive Dyspnea and Diffuse Reticulonodular Pulmonary Infiltrates
Richard L. Kradin, and Eugene J. Mark

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Presentation of Case

A 62-year-old woman was referred to the hospital because of progressive exertional dyspnea and reticulonodular pulmonary infiltrates.

The patient had been well until six years earlier, when progressive exertional dyspnea began, accompanied by pain in the chest and left arm. A diagnosis of angina pectoris was made, and propranolol was prescribed. The pain disappeared, and the dyspnea improved slightly, but the patient could no longer play tennis. During the next six years, the exertional dyspnea gradually worsened, and in the two years before admission she had several bouts of "bronchitis" with wheezing and a productive cough.

Seventeen months before admission, . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Richard L. Kradin's Diagnoses

Pathological Discussion

Anatomical Diagnoses

Addendum

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