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Clinical Problem-Solving
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Volume 346:438-442 February 7, 2002 Number 6
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More Than Your Average Wheeze
Carey Conley Thomson, M.D., Andrew M. Tager, M.D., and Peter F. Weller, M.D.

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A 59-year-old man presented to a pulmonary clinic with a two-month history of rapidly progressive shortness of breath. At the onset of his dyspnea, prednisone (60 mg per day) relieved his symptoms, but dyspnea recurred when the dose was tapered after three weeks. He had had postnasal drip and a nonproductive cough for four years. Asthma had been diagnosed three years earlier, because of occasional wheezing, and inhaled albuterol and fluticasone and oral theophylline were prescribed. He had also been treated for sinusitis with antibiotics and a nasal septotomy and had received omeprazole for esophageal reflux, but he continued to . . . [Full Text of this Article]

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From the Department of Pulmonary and Critical Care Medicine (C.C.T., A.M.T.) and the Center for Immunology and Inflammatory Diseases, Division of Rheumatology, Allergy, and Immunology (A.M.T.), Massachusetts General Hospital; the Channing Laboratory, Brigham and Women's Hospital (C.C.T.); Harvard Medical School (C.C.T., A.M.T., P.F.W.); and the Divisions of Allergy and Inflammation and Infectious Diseases, Department of Medicine, Beth Israel Deaconess Medical Center (P.F.W.) — all in Boston.

Address reprint requests to Dr. Thomson at the Pulmonary and Critical Care Unit, Bulfinch 148, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, or at cthomson@partners.org.

References




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