54 岁男性，咳嗽、胸痛，活动后呼吸困难。

54-Year-Old Man With Cough, Chest Pain, and Dyspnea on Exertion.

机构信息

Department of Medicine, Tulane University School of Medicine, New Orleans, LA.

Division of Pulmonary and Critical Care, Kaiser Permanente Roseville and Sacramento Medical Center, Roseville, CA.

出版信息

Chest. 2020 Dec;158(6):e299-e303. doi: 10.1016/j.chest.2020.07.047.

DOI:10.1016/j.chest.2020.07.047

PMID:33280773

Abstract

A 54-year-old man presented with 6 months' history of dry cough and dyspnea on exertion. He also reported intermittent joint pain and orthopnea. He denied fevers, chills, and rashes. His medical history was significant for rheumatoid arthritis, for which he was taking 20 mg of prednisone daily. He had not been receiving adalimumab or methotrexate for several months. He never smoked and drank alcohol occasionally. Family history was significant for rheumatoid arthritis.

摘要

一位 54 岁男性，因 6 个月干咳和劳力性呼吸困难就诊。他还报告间歇性关节痛和端坐呼吸。他否认发热、寒战和皮疹。他的病史有类风湿关节炎，为此他每天服用 20 毫克泼尼松。他已经有数月未接受阿达木单抗或甲氨蝶呤治疗。他从不吸烟，偶尔饮酒。家族史有类风湿关节炎。