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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 329:1484-1491 November 11, 1993 Number 20
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Case 45-1993— A 23-Year-Old Asthmatic Man with Pulmonary Infiltrates and Hilar Lymphadenopathy
Patricia M. Joseph, and Eugene J. Mark

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Presentation of Case

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 . . . [Full Text of this Article]

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Dr. Patricia Maxwell Joseph's Diagnosis

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