Department of Internal Medicine, University of Texas Health Science Center at Houston-McGovern Medical School, Houston, TX.
Divisions of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, University of Texas Health Science Center at Houston-McGovern Medical School, Houston, TX.
Chest. 2019 Feb;155(2):e51-e54. doi: 10.1016/j.chest.2018.08.1077.
A 45-year-old woman presented for evaluation for 3 months of coughing and dyspnea. A recent chest CT scan done for workup of her symptoms revealed a 2-cm right-sided pulmonary nodule. She had a medical history of Sjögren syndrome, hypertension, and obesity. She also noted a weight loss of 30 lb over the last 3 years. She denied smoking, alcohol consumption, illicit drug use, or occupational exposures. A chest radiograph done 3 years prior did not reveal any pulmonary nodules. She had no personal or family history of arteriovenous malformations, hamartomas, or any malignancies and had been up to date with her breast cancer screening. She was treated with courses of hydroxychloroquine and mycophenolate mofetil for her Sjögren syndrome and did not have a history of opportunistic pulmonary infections. She denied any recent travel or exposure to TB.
一位 45 岁女性因咳嗽和呼吸困难就诊。近期因症状检查的胸部 CT 扫描显示右侧有 2cm 大小的肺结节。她有干燥综合征、高血压和肥胖的病史。她还注意到过去 3 年体重减轻了 30 磅。她否认吸烟、饮酒、使用非法药物或职业暴露。3 年前的胸部 X 光片未显示任何肺结节。她没有动静脉畸形、错构瘤或任何恶性肿瘤的个人或家族史，并且一直按时进行乳腺癌筛查。她曾因干燥综合征接受羟氯喹和吗替麦考酚酯治疗，没有机会性肺部感染的病史。她否认最近有旅行或接触过结核病。
