Department of Respiratory Medicine, St. Vincent's University Hospital, Dublin, Ireland.
Department of Histopathology, St. Vincent's University Hospital, Dublin, Ireland.
Chest. 2021 Jan;159(1):e39-e43. doi: 10.1016/j.chest.2020.08.2102.
A 33-year-old white man presented to the ED with 1-month history of worsening dyspnea. He experienced gradual onset of right-sided scapular pain and shortness of breath on exertion that progressively worsened over the course of 1 month. He had a mild nonproductive cough and intermittent subjective fevers and reported weight loss of approximately 2 kg over 1 month. He had a history of two episodes of acute pancreatitis that was thought to be autoimmune in origin. He was a never smoker; he denied illicit drug use or recent alcohol consumption. He had no known TB exposure, but his mother had a history of sarcoidosis.
一位 33 岁的白人男性因呼吸困难进行性加重 1 个月就诊于 ED。他逐渐出现右侧肩胛疼痛和活动后呼吸困难，症状在 1 个月内逐渐加重。他有轻度干咳，间歇性发热，体重在 1 个月内减轻约 2kg。他曾有两次急性胰腺炎发作，既往认为是自身免疫性的。他从不吸烟；否认使用非法药物或最近饮酒。他没有已知的结核暴露史，但他的母亲有结节病病史。
