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Dr. Andrew Tinsley (Medicine): A 63-year-old woman was admitted to this hospital because of dyspnea on exertion.
The patient had been in her usual state of health until approximately 3 weeks before admission, when dyspnea developed. Approximately 1 week later, she began to have tightness in the chest on exertion, as well as burning pain in the left subscapular region that radiated down the left arm and was relieved by massage therapy, acetaminophen, and ibuprofen. The dyspnea gradually increased in severity, until she became short of breath while walking up one flight of stairs or moving a lawn chair a
Differential Diagnosis
Important Features of the Case
Immunosuppression
Pulmonary Complications of Ulcerative Colitis
Lung Disease Related to Medications
Idiopathic Interstitial Lung Disease
Summary
Clinical Diagnosis
Dr. Charles M. Wiener's Diagnosis
Pathological Discussion
Anatomical Diagnosis
Source Information
From the Department of Medicine, Johns Hopkins Hospital; and the Department of Medicine, Johns Hopkins University School of Medicine — both in Baltimore (C.M.W.); and the Departments of Radiology (V.V.M.) and Pathology (E.J.M.), Massachusetts General Hospital; and the Departments of Radiology (V.V.M.) and Pathology (E.J.M.), Harvard Medical School — both in Boston.
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