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Cutaneous Lesions Provide a Clue to Mysterious Pulmonary Process
Martin Weil, MD;
Mary Gail Mercurio, MD;
Robert T. Brodell, MD;
Boni E. Elewski, MD
Arch Dermatol. 1996;132(7):823-824.
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REPORT OF A CASE
A 36-year-old white man from the Ohio River Basin Area presented to a pulmonologist with a 2-month history of a nonproductive cough, external dyspnea, generalized fatigue, anorexia, and a 13.6-kg weight loss. He denied any recent travel, and he had no pets or unusual hobbies. He worked as a security guard for an apartment complex. He denied intravenous drug use, homosexuality, or blood transfusions before 1987. His medical history was unremarkable. The patient's initial physical examination revealed a thin, mildly disheveled white man in no apparent distress. His vital signs were within normal limits except for a mild tachycardia (heart rate, 100 beats per minute). He had a few scattered crackles in his lower lung fields, with good breath sounds. No lymphadenopathy was present. His white blood cell count was 12.1 x109/L, and his enzyme-linked immunosorbent assay was negative for human im
. . . [Full Text PDF of this Article]
Author Affiliations
Case Western Reserve University, Cleveland, Ohio
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