一名84岁进行性呼吸困难且胸部CT扫描异常的男性。

An 84-Year-Old Man With Progressive Dyspnea and an Abnormal Chest CT Scan.

作者信息

Fakih Hafiz Abdul Moiz, Samra Yasser, Ataya Ali, Prasad Ashish, Papierniak Eric, Wakefield Dara, Urbine Daniel

机构信息

Division of Pulmonary, Critical Care, and Sleep Medicine, University of Florida, Gainesville, FL.

出版信息

Chest. 2017 Aug;152(2):e45-e49. doi: 10.1016/j.chest.2017.03.013.

DOI:10.1016/j.chest.2017.03.013

PMID:28797400

Abstract

An 84-year-old man without a history of smoking presented with progressive dyspnea of 6 months' duration accompanied by fatigue and unintentional weight loss. He denied fever, chills, chest pain, hemoptysis, rash, joint pains, or muscle aches. He had multiple hospitalizations for similar presentations that were diagnosed as pneumonia. History was significant for diastolic heart failure, hypertension, and type 2 diabetes mellitus.

摘要

一位84岁的男性，无吸烟史，出现了持续6个月的进行性呼吸困难，伴有疲劳和非故意性体重减轻。他否认发热、寒战、胸痛、咯血、皮疹、关节疼痛或肌肉酸痛。他曾因类似症状多次住院，均被诊断为肺炎。既往史包括舒张性心力衰竭、高血压和2型糖尿病。