Failure to Respond -- A 52-year-old man presented to his primary care physician with dyspnea and cough

doi:10.1056/NEJMcps067266

Volume 358:70-74		January 3, 2008		Number 1

Failure to Respond — A 52-year-old man presented to his primary care physician with dyspnea and cough

Michael E. Ezzie, M.D., William J. Janssen, M.D., James M. O'Brien, M.D., Charity C. Fox, M.D., and Marvin I. Schwarz, M.D.

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In this Journal feature, information about a real patient ispresented in stages (boldface type) to an expert clinician,who responds to the information, sharing his or her reasoningwith the reader (regular type). The authors' commentary follows.

A 52-year-old man presented to his primary care physician withdyspnea and cough. For the past 15 years, he had recurrent episodesof cough that were relieved only by intermittent courses oforal corticosteroids. He had been treated on three occasionsduring the past year with 20 mg of prednisone daily for 2 weeks.In the previous 3 weeks, his cough had . . . [Full Text of this Article]

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Source Information

From the Department of Medicine, Division of Pulmonary, Critical Care, Allergy, and Sleep Medicine, Ohio State University, Columbus (M.E.E., J.M.O., C.C.F.); and the Department of Medicine, National Jewish Medical and Research Center (W.J.J.), and the Department of Medicine, University of Colorado Health Sciences Center (W.J.J., M.I.S.) — both in Denver.

Address reprint requests to Dr. Ezzie at Ohio State University, 201 Davis HLRI, 473 West 12th Ave., Columbus, OH 43210, or at michael.ezzie@osumc.edu.