Skill Checkup: A 46-Year-Old Woman Presents With Dyspnea on Exertion and a Nonproductive Cough

Zab Mosenifar, MD


February 15, 2023

A 46-year-old female patient in the US presents with dyspnea on exertion and a nonproductive cough. Height is 5 ft 5 in (1.651 m) and weight is 148 lb (67.13 kg; BMI, 24.6). The patient reports a family history of psoriatic arthritis and a personal history of systemic sclerosis (SSc), which was diagnosed 7 years ago. Disease history is notable for CREST variety with calcinosis cutis, Raynaud phenomenon, esophageal motility disorder, sclerodactyly, and telangiectasia. Pulmonary function testing demonstrates a restrictive pattern, with forced vital capacity of 66% and 78% diffusion capacity of the lung for carbon monoxide.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.