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A 42-year-old man was admitted to the hospital because of pulmonary cysts.
The patient had a long history of nasal allergy, with occasional wheezing on exposure to cats; hives after ingestion of shellfish; dry eyes and mouth; and occasional swelling and stiffness of the left hand and right wrist. Eleven years before admission, a biopsy of his lower lip showed prominent chronic sialadenitis, a finding consistent with the diagnosis of Sjögren's syndrome.
Nine years before admission, the patient was found to have a high titer of antinuclear antibodies with a speckled pattern, with positive tests for rheumatoid factor, antibodies to
Differential Diagnosis
Diagnosis of Sjögren's Syndrome
Primary Pulmonary Cystic Disorders
Other Respiratory Tract Lesions
Pulmonary-Function Studies
Bronchoscopic Findings
Clinical Diagnoses
Dr. R. Scott Harris's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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