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- Ismini Kourouni, Karam Han, Jonathan Glaab, Faiza Khalid, Edward D Sivak, Ila Tamaskar, and Azzam Hammad.
- Division of Pulmonary, Critical Care and Sleep Medicine, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH. Electronic address: ikourouni@metrohealth.org.
- Chest. 2022 Mar 1; 161 (3): e175-e180.
Case PresentationA 62-year-old woman with a long-term smoking history was evaluated at our lung cancer clinic for a new 2.5-cm lung nodule. She had a history of well-controlled COPD and hypertension. She was in overall good health until 3 weeks before her evaluation in an ED for new-onset exertional dyspnea. Her physical examination was unremarkable, except for diffuse hyperpigmented scaly scalp lesions that coalesced into plaques. Her subjective symptoms were nonproductive cough, exertional dyspnea, unintentional weight loss of 10 lb, and fatigue that had started 2 months earlier. She did not have fever or night sweats.Copyright © 2021 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.
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