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March 2025 Pulmonary Case of the Month: Interstitial Lung Disease of Uncertain Cause

Year: 2025
Type: article
Study design: Case Report
Abstract: No abstract available. Manuscript truncated after 150 words. History of Present Illness A 58-year-old man complained of gradually increasing shortness of breath. He denied any cough. An outside chest x-ray is reported as showing mild bilateral interstitial changes. Past Medical History, Social History, and Family History • He has a history of rheumatoid arthritis and has complaints of mild joint stiffness and soreness. He has taken mycophenolate for several years which has made no difference in his symptoms. • He has never smoked and denies any occupational exposure. • There is no family history of lung disease. Physical Examination • Vital Signs: SpO2 95% on room air but declined to 88% with ambulation. • Chest: A few scattered inspiratory crackles noted. • Cardiovascular: Regular rhythm without murmur. • Extremities: No clubbing or edema. No evidence of synovitis or joint inflammation • Skin: Slightly raised, pink, scaly lesions on elbows and knees. Which of the following are indicated? 1. Dermatology consult 2. Pulmonary function testing 3. Connective ...
Language: English
Field: Medicine
Open Access status: hybrid
OpenAlex ID: W4408076617
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