A 60-Year-Old Man With Dyspnea, Proximal Muscle Weakness, and Pulmonary Arterial Hypertension
| Autor: | Ali Ataya, Christopher Harden, Marie Rivera-Zengotita, Everett Rogers, Nichole Allen, Eric W. Moffet |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine Weakness Proximal muscle weakness Physical examination Myelitis Transverse Critical Care and Intensive Care Medicine medicine.disease_cause Diagnosis Differential Humans Medicine Medical history Pulmonary Arterial Hypertension Muscle Weakness medicine.diagnostic_test business.industry Muscle weakness Middle Aged Parasternal heave Dysphagia Dyspnea Oxygen Saturation Anesthesia medicine.symptom Lung Diseases Interstitial Cardiology and Cardiovascular Medicine business Nasal cannula Biomarkers |
| Zdroj: | Chest. 160:e225-e231 |
| ISSN: | 0012-3692 |
| DOI: | 10.1016/j.chest.2021.03.040 |
| Popis: | Case Presentation A 60-year-old man with no significant medical history presented to the pulmonology clinic with 2 years of progressive weakness and shortness of breath. Showering and other activities of daily living caused him significant fatigue and dyspnea. He had a 20-pack-year smoking history, but no significant history of alcohol or illicit drug use. He did not take any prescribed or over-the-counter medications for chronic medical conditions and had never been on statin therapy. Vital signs were significant for an oxygen saturation of 91% on 4-L nasal cannula. He required up to 6 L of oxygen during a walk test. Physical examination showed mild inspiratory crackles in the lung bases, loud splitting of the second pulmonic valve (P2) with a right parasternal heave, and 2+ pitting edema in the lower extremities. There was muscle weakness, pain, and wasting of the proximal upper and lower extremities, particularly in his legs. He denied any joint pain, and there was no evidence of rash or dysphagia. |
| Databáze: | OpenAIRE |
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