Chapter

Case 38

John Stradling, Andrew Stanton, Najib Rahman, Annabel Nickol and Helen Davies

in Oxford Case Histories in Respiratory Medicine

Published on behalf of Oxford University Press

Published in print July 2010 | ISBN: 9780199556373
Published online November 2012 | e-ISBN: 9780191753299 | DOI: http://dx.doi.org/10.1093/med/9780199556373.003.038

Series: Oxford Case Histories

Case 38

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A 67-year-old lady was referred with 6 months of progressive breathlessness on exertion. Her past medical history was of limited Wegener’s granulomatosis, diagnosed 15 years previously, causing recurrent nasal and sinus disease and requiring frequent sinus irrigation. She had remained ANCA negative over recent years and was currently on no immunosuppressive treatment, but had been treated with steroids, cyclophosphamide and azathioprine shortly after diagnosis. On examination, resting SaO2 was 97%, there were fairly harsh inspiratory and expiratory sounds (no frank stridor) and signs of previous Wegener’s with collapsed nasal bridge. Full examination was otherwise normal.

Chapter.  1195 words.  Illustrated.

Subjects: Respiratory Medicine and Pulmonology

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