Clinical Information

Case Study: 59-year-old Puerto Rican male with dyspnea and joint pain

CLINICAL INFORMATION

Presentation

• 59-year-old Puerto Rican male
• Presented with mild dyspnea and Raynaud’s syndrome in 1998
• Chief complaint: dyspnea

History

• Hypercholesterolemia
• Gastroesophageal reflux
• S/p cholecystectomy
• S/p tonsillectomy

Habits

• Never a smoker
• Had a pet bird for a brief time after his initial diagnosis

Occupation

• Worked in construction and as a factory worker
• No exposure to asbestos

Family History

• No history of fibrotic lung disease

Allergies

• Penicillin

Medications

• Atorvastatin 20 mg/day
• Esomeprazole magnesium 20 mg/day

Review of Systems

• All negative with exception of mild arthralgias

Physical Exam and Workup

• BP: 146/82
• Pulse: 82
• Temp: afebrile
• RR: 18
• O₂: 97% RA
• Weight: 172 lbs
• Respiratory system: bibasilar crackles, otherwise normal
• Extremities: no cyanosis/clubbing/edema; no joint deformities/swelling
• Other features: normal
• Laboratory workup: all negative

Pulmonary Function Tests - 1998