Department of Medicine, Albany Medical College, Albany, NY.
Department of Pulmonary and Critical Care Medicine, Albany Medical Center, Albany, NY.
Chest. 2023 May;163(5):e219-e222. doi: 10.1016/j.chest.2022.11.020.
A 61-year-old man presented to the pulmonary clinic with symptoms of dyspnea and productive cough for the last 6 months. Within the last 2 months, he started noticing bulging of his eyes associated with blurry vision. He denied hemoptysis, fever, night sweats, weight loss, skin rash, and dry eyes or mouth. He is a former smoker, and he denied any recent travel history. The patient has a history of microscopic polyangiitis, which was treated with cyclophosphamide and mycophenolate maintenance therapy and has been in remission for the last 7 years.
一位 61 岁男性因呼吸困难和咳嗽咳痰症状就诊于呼吸科，上述症状已持续 6 个月。在过去 2 个月中，他开始出现眼球突出，并伴有视物模糊。他否认咯血、发热、盗汗、体重减轻、皮疹、眼干或口干。患者为既往吸烟者，否认近期旅行史。患者曾患有显微镜下多血管炎，接受环磷酰胺和吗替麦考酚酯维持治疗，目前已缓解 7 年。
