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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 336:1079-1088 April 10, 1997 Number 15
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Case 11-1997— A 51-year-old Man with Chronic Obstructive Pulmonary Disease and Generalized Muscle Weakness
Alfred W. Sandrock, Didier P. Cros, and David N. Louis

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Presentation of Case

A 51-year-old man was admitted to the hospital with respiratory failure.

He was known to have had chronic obstructive pulmonary disease since the age of 46 years, and he had a history of long-standing alcohol abuse. At 36 years of age, he had received the diagnoses of intermittent explosive disorder, ethanol intoxication, and depression with paranoid features.

He had had low-grade fever and worsening dyspnea for three days before admission and was transferred from another hospital with respiratory failure. A specimen of arterial blood showed that the partial pressure of oxygen was 67 mm Hg, the partial pressure of carbon . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Alfred W. Sandrock, Jr.'s Diagnosis

Pathological Discussion

Anatomical Diagnosis

Addendum

References


Related Letters:

Case 11-1997: Critical-Illness Myopathy
Primavera A., Abbruzzese M., Sandrock A.
Extract | Full Text  
N Engl J Med 1997; 337:862-863, Sep 18, 1997. Correspondence

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