Respiratory Medicine Department, Hanoi Medical University Hospital, Hanoi, Vietnam.
Diagnostic Imaging and Interventional Radiology Center, Hanoi Medical University Hospital, Hanoi, Vietnam.
Chest. 2022 Mar;161(3):e153-e157. doi: 10.1016/j.chest.2021.09.028.
A 32-year-old man was admitted to the hospital because of dyspnea on exertion for 2 months. Dyspnea occurred in both inspiration and expiration with an associated wheeze that was more pronounced with exertion. He had no other medical history or allergies. The patient was a current one-pack-a-day smoker for the past 5 years. He denied any close personal contact or recent exposure to any patients with active TB. He denied any current symptoms of chest pain, cough, fever, or changes in weight. On a prior admission for similar symptoms, the patient had been diagnosed with asthma and treated with an inhaled corticosteroid/long-acting beta-agonist with no change or improvement in symptoms.
一位 32 岁男性因 2 个月来的劳力性呼吸困难入院。呼吸困难在吸气和呼气时均出现，并伴有呼气时更明显的喘鸣，且在用力时加重。他没有其他病史或过敏史。患者过去 5 年中每天吸 1 包烟。他否认有任何密切的个人接触或近期接触过任何活动性肺结核患者。他否认有任何当前的胸痛、咳嗽、发热或体重变化的症状。此前因类似症状入院时，患者被诊断为哮喘，并接受吸入皮质类固醇/长效β激动剂治疗，但症状无变化或改善。
