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

Zab Mosenifar, MD

Disclosures

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.

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