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- Kee Fong Phang, Gim Gee Teng, Lynette L S Teo, Ju Ee Seet, Chia Meng Teoh, and Felicia S W Teo.
- University Medicine Cluster, Division of Rheumatology, National University Hospital, National University Health System, Singapore.
- Chest. 2018 Nov 1; 154 (5): e127-e134.
AbstractA 67-year-old retired air force officer presented with a 6-month history of nonproductive cough, progressive exertional dyspnea, and weight loss. He was unable to walk beyond 100 m compared with his baseline of unlimited walking distance. He denied fever, hemoptysis, myalgia, or chest pain. He had a 30-year history of chronic plaque psoriasis with arthritis, which was managed by his dermatologist with emollients and vitamin D analogues. Joint involvement had previously been controlled with methotrexate, which was discontinued 15 years ago after resolution of his symptoms. He developed a polyarthritis flare a year ago, and adalimumab was initiated with good response.Copyright © 2018 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.
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