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A 23-year-old man with asthma was admitted to the hospital because of an increased cough with pulmonary infiltrates.
There was a history of mild asthma since childhood, which was managed occasionally with short courses of prednisone. More recently, the patient required medication for asthma approximately once a year for exacerbations that were provoked by upper respiratory tract infections or by swimming and that were treated with a corticosteroid inhaler. He had never required admission to a hospital because of wheezing. He had a chronic morning cough productive of scanty clear secretions.
The patient was well otherwise until three weeks before
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Dr. Patricia Maxwell Joseph's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
Related Letters:
Clinical Problem-Solving: Assessing Aortic Valvular Insufficiency
Prakash M.N., Burger A., Kamalesh M., Thibault G. E.
Extract |
Full Text
N Engl J Med 1994;
330:941-942, Mar 31, 1994.
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