• Chok Limsuwat, Philip J Daroca, and Joseph A Lasky.
• Department of Internal Medicine, Pulmonary Diseases, Critical Care, and Environmental Medicine, Tulane University Health Sciences Center, New Orleans, LA; Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand. Electronic address: chok.limsuwat@gmail.com.
• Chest. 2018 Jul 1; 154 (1): e27-e30.

Case PresentationA 56-year-old man with a history of common variable immunodeficiency (CVID), in addition to recurrent bronchitis and pneumonia, presented with progressively worsening shortness of breath over a period of a few months. He was able to conduct his activities of daily living at baseline; however, his condition declined over a period of months to the point of shortness of breath with climbing a flight of stairs. The patient also developed a frequent dry cough and wheezing. He denied fever, chest pain, weight loss, and hemoptysis. He had been diagnosed with CVID in 1968, at 7 years of age, after recurrent episodes of bronchitis and pneumonia, and was treated with IV immunoglobulin monthly for decades. The patient was a lifelong nonsmoker and had no significant environmental or occupational exposures. He was referred to our hospital for further management.Copyright © 2017 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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