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

Zab Mosenifar, MD


January 31, 2022

The Skill Checkup series provides a quick, case-style interactive quiz highlighting key guidelines- and evidence-based information to inform clinical practice.

A 46-year-old female patient presents with dyspnea on exertion and a nonproductive cough. Height is 5 ft 5 in and weight is 148 lb (body mass index = 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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