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A 49-year-old woman was admitted to the hospital because of interstitial lung disease.
She had a 13-year history of biopsy-confirmed primary biliary cirrhosis, with a positive test for antimitochondrial antibodies. She was treated initially with colchicine; ursodiol was later substituted. For six years, she had had a scleroderma-like illness characterized by mild sclerodactyly and hyperpigmented, tight skin on the arms and trunk, with Raynaud's phenomenon. The patient took quinapril and hydrochlorothiazide for hypertension and levothyroxine for hypothyroidism.
The patient worked in a clerical capacity. She had smoked one to two packs of cigarettes daily for 25 years but stopped 7
Differential Diagnosis
Clinical Diagnoses
Dr. John J. Reilly, Jr.'s, Diagnoses
Pathological Discussion
Anatomical Diagnosis
References
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