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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 343:642-649 August 31, 2000 Number 9
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Case 27-2000— A 61-Year-Old Man with Rapidly Progressive Dyspnea
Richard M. Schwartzstein, and Eugene J. Mark

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Presentation of Case

A 61-year-old man was admitted to the hospital because of increasing exertional dyspnea.

The patient had been in excellent health until three months earlier, when he began to experience mild exertional dyspnea, with an occasional cough productive of clear sputum. Radiographic studies of the chest performed on two occasions showed abnormalities, and different antibiotics were administered on each occasion without improvement. The dyspnea worsened, and anorexia developed, with a weight loss of 7 kg. Three weeks before admission, pulmonary-function studies were performed at another hospital (Table 1). The patient was referred to this hospital.

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Table 1. Results of Pulmonary-Function Tests.

 
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Differential Diagnosis

Clinical Diagnosis

Dr. Richard M. Schwartzstein's Diagnoses

Pathological Discussion

Anatomical Diagnosis

References


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