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A young lady with dyspnoea: Quest for the cause
Mahismita Patro1, Dipti Gothi2, Sameer Vaidya3
1Department of Pulmonary Medicine, ESI-PGIMSR, New Delhi. mahismita.patro@gmail.com.
Summary
Pulmonary hypertension (PH) is often caused by obliterative bronchiolitis (OB). This case highlights a rare cryptogenic OB leading to PH, successfully managed with optimal treatment.
Area of Science:
- Pulmonary Medicine
- Cardiology
- Respiratory Diseases
Background:
- Pulmonary hypertension (PH) significantly impacts patient prognosis, necessitating accurate etiological diagnosis.
- Obliterative bronchiolitis (OB) is an under-recognized cause of PH, often linked to post-infectious sequelae.
- Cryptogenic OB, with no identifiable cause, is exceptionally rare.
Observation:
- A unique case of PH was observed in a patient with cryptogenic OB.
- The patient presented with symptoms indicative of severe respiratory compromise.
Findings:
- The diagnosis of PH was confirmed, and cryptogenic OB was identified as the underlying etiology.
- Successful management of PH was achieved through a tailored therapeutic approach.
Implications:
- This case underscores the importance of considering OB, even in its cryptogenic form, as a cause of PH.
- Optimal management strategies can lead to favorable outcomes in patients with PH due to cryptogenic OB.
- Further research into cryptogenic OB is warranted to improve diagnostic and therapeutic protocols.
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