Case 42

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:

Series: Oxford Case Histories

Case 42

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A 47-year-old man presented with progressive increasing breathlessness over 2 years, with an exercise tolerance of 100 metres, in association with a cough occasionally productive of mucopurulent sputum. His GP had tried increasing doses of budesonide and formoterol, several courses of antibiotics and short steroid courses with no benefit. He had stopped smoking 20 years previously. On examination he had a BMI of 46.4, no finger clubbing or cyanosis. Resting oxygen saturation on air was 94%. Respiratory examination revealed fine left basal crackles, and otherwise examination was normal.

Chapter.  2011 words.  Illustrated.

Subjects: Respiratory Medicine and Pulmonology

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