A 56-Year-Old Woman With Worsening Dyspnea and Sarcoidosis

Kennedy O. Omonuwa, MD; Arunabh Talwar, MD; Lindsay Goodman, MD


October 31, 2019

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A 56-year-old African-American woman with a 20-year history of pulmonary sarcoidosis presents to the emergency department with a 6-month history of progressive and worsening dyspnea. The patient's dyspnea is worse during exertion and is associated with decreased exercise tolerance. She denies any coughing, wheezing, fever, chest pain, or leg swelling.

She has had multiple presentations to her primary care provider's office; at each visit, the dyspnea was attributed to progression of her underlying pulmonary sarcoidosis, and she was prescribed corticosteroids. Despite steroid therapy, her dyspnea has persisted and has worsened.

The patient's only medications are oral prednisone and multivitamins. She has no known drug or food allergies, as well as no history of smoking, alcohol abuse, or illicit drug use.


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