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Severe exertional dyspnea in a patient with localized emphysema
G Giustino1, K A Webb, K B Sutherland
1Department of Medicine, Queen's University, Kingston, Canada.
Canadian Respiratory Journal
|January 7, 2000
Abstract:
The case of a middle-aged, male smoker who presented with progressive severe dyspnea is described. The cause of the progressive severe dyspnea remained unexplained after a comprehensive history, physical examination, chest radiograph, electrocardiogram and spirometry. Subsequent investigations resulted in a diagnosis of localized pulmonary emphysema. Detailed exercise testing helped uncover the physiological basis of the patient's extreme dyspnea.