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  • Title: A 67-Year-Old Man With Psoriatic Arthritis and New-Onset Dyspnea.
    Author: Phang KF, Teng GG, Teo LLS, Seet JE, Teoh CM, Teo FSW.
    Journal: Chest; 2018 Nov; 154(5):e127-e134. PubMed ID: 30409366.
    Abstract:
    A 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.
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