September 2018 pulmonary case of the month: lung cysts

• Main Author: Wesselius LJ
• Format: Article
• Language: English
• Published: Arizona Thoracic Society 2018-09-01
• Series: Southwest Journal of Pulmonary and Critical Care
• Subjects: Sjögren’s syndrome; lymphocytic interstitial pneumonia; LIP; anti-SSA; anti-SSB; lung cysts; cysts; CT scan; pulmonary function testing; therapy
• Online Access: http://www.swjpcc.com/pulmonary/2018/9/1/september-2018-pulmonary-case-of-the-month-lung-cysts.html

No abstract available. Article truncated after 150 words. History of Present Illness: A 67-year-old woman was referred for mild shortness of breath for several years, but worse since January 2018. She has dyspnea on exertion after 1 block. An outside chest x-ray, electrocardiogram and echocardiogram are reported as normal. She was begun on prednisone at 40 mg/day and her symptoms improved. However, her symptoms worsened when the dose tapered to 5 mg/day. She gained 35 pounds while on the prednisone and tried a steroid inhaler therapy without benefit. She is still dyspneic after 1 block of exertion. Past Medical History, Social History, Family History: • Her past medical history was only positive for gastroesophageal reflux for which she takes ranitidine and hypertension for which she takes lisinopril. • She was a life-long nonsmoker. • There was no occupational history, hot tub or bird exposures. • Family history is noncontributory. Physical Examination • Her SpO2 was 94% on room air. • Chest: few crackles noted …