First Academic Department of Pneumonology, Interstitial Lung Diseases Unit, Hospital for Diseases of the Chest, "Sotiria," Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Hematopathology Department, Evangelismos General Hospital, Athens, Greece.
Chest. 2020 Sep;158(3):e117-e121. doi: 10.1016/j.chest.2020.04.041.
A 77-year-old woman was referred to our interstitial lung disease unit. She presented with a history of progressive dyspnea on exertion and nonproductive, persistent cough over the previous year. She was diagnosed with Sjogren syndrome two years ago by a rheumatologist. In the context of Sjogren syndrome, she reported chronic xerostomia and xerophthalmia for the last 5 years. Her history was also notable for the presence of arterial hypertension and hypothyroidism. She denied the presence of shortness of breath, chest pain, arthralgia, muscle weakness, weight loss, night sweats, and fatigue. She reported exposure to house mold. There was no family history of respiratory diseases. The patient never smoked and denied alcohol consumption, illicit drug use, or any occupational exposures.
一位 77 岁女性被转诊至我们的间质性肺病科。她因进行性劳力性呼吸困难和过去一年无痰、持续咳嗽而就诊。两年前，她被风湿病医生诊断为干燥综合征。在干燥综合征的背景下，她报告说过去 5 年来有慢性口干和眼干。她的病史还包括动脉高血压和甲状腺功能减退。她否认有呼吸急促、胸痛、关节痛、肌肉无力、体重减轻、盗汗和疲劳。她报告说曾接触过房屋霉菌。她没有呼吸道疾病的家族史。该患者从不吸烟，否认饮酒、使用非法药物或任何职业性暴露。
