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A 37-year-old woman was admitted to the hospital because of chronic interstitial lung disease and a history of spontaneous pneumothorax.
The patient had been in good health until 4 1/2 years earlier, when she had chest pain and was found to have a spontaneous left pneumothorax, which resolved without treatment. Subsequent radiographs of the chest showed no evidence of parenchymal lung disease. During the next four years the patient had several episodes of similar chest pain, which resolved spontaneously within a few days.
Five months before entry she experienced the abrupt onset of severe, nonpleuritic pain in the left anterior
Differential Diagnosis
Clinical Diagnosis
Dr. Barry D. Fuchs's Diagnosis
Pathological Discussion
Anatomical Diagnoses
Addendum
References
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Case 18-1994: Tuberous Sclerosis
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Extract |
Full Text
N Engl J Med 1994;
331:813-814, Sep 22, 1994.
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