Case 44

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 44

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Six weeks previously a 75-year-old retired farmer had developed ‘bronchitis’ with a cough, fever and wheeze. Two courses of antibiotics (amoxicillin and doxycycline) provided little symptomatic benefit. Two weeks prior to his appointment, in late-January, he noticed his fingers intermittently becoming ‘purple and cold’, but with no associated white or red skin finger discolouration (Fig. 44.1). This only occurred when helping his son on their pig farm early in the morning, and improved a little as the day progressed. He had never smoked and was on no regular medication.

Chapter.  1267 words.  Illustrated.

Subjects: Respiratory Medicine and Pulmonology

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