An 84-Year-Old Physician With Progressive Dyspnea and Bilateral Upper Lobe Opacities

An 84-year-old physician was seen in the pulmonary clinic with 10 days of progressive exertional dyspnea, night sweats, and dry cough. For the past 5 months, he had been taking ibuprofen for lumbar radiculopathy from spinal stenosis. Ten days earlier, ibuprofen was switched to naproxen 250 mg twice...

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Bibliographic Details
Published in:Chest Vol. 159; no. 5; pp. e325 - e329
Main Authors: Harris, Zachary M., Antin-Ozerkis, Danielle
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01-05-2021
Online Access:Get full text
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Summary:An 84-year-old physician was seen in the pulmonary clinic with 10 days of progressive exertional dyspnea, night sweats, and dry cough. For the past 5 months, he had been taking ibuprofen for lumbar radiculopathy from spinal stenosis. Ten days earlier, ibuprofen was switched to naproxen 250 mg twice daily because of its longer half-life. He denied fever, weight loss, rash, dysphagia, proximal muscle weakness, wheeze, sinus congestion, and peripheral numbness/tingling. Medical history included paroxysmal atrial fibrillation, hypertension, Hashimoto’s thyroiditis, and OSA. Long-term medications included aspirin, flecainide, atorvastatin, amlodipine, levothyroxine, and candesartan. He was a lifelong nonsmoker. There was no history of recent travel.
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ISSN:0012-3692
1931-3543
DOI:10.1016/j.chest.2020.12.035