Abstract
A 34-year-old woman presented for evaluation of several months of a hoarse voice and dyspnea on exertion that progressed over the last 3 years. She had a clinical diagnosis of asthma that had been treated with bronchodilators and inhaled corticosteroids for a few years. She continued to use her inhalers but with minimal symptomatic improvement. The patient was a lifelong nonsmoker with no history of drug abuse. She worked as a college professor and denied any significant environmental exposures or recent travel.
Copyright © 2019 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.
Publication types
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Case Reports
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Video-Audio Media
MeSH terms
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Adult
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Dyspnea* / diagnosis
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Dyspnea* / etiology
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Echocardiography / methods
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Female
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Heart Atria / diagnostic imaging
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Heart Ventricles / diagnostic imaging
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Hoarseness* / diagnosis
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Hoarseness* / etiology
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Humans
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Laryngoscopy / methods*
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Lung / diagnostic imaging*
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Patient Care Management / methods
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Pulmonary Arterial Hypertension* / complications
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Pulmonary Arterial Hypertension* / diagnosis
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Pulmonary Arterial Hypertension* / physiopathology
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Pulmonary Arterial Hypertension* / therapy
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Pulmonary Artery / diagnostic imaging
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Severity of Illness Index
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Tadalafil / administration & dosage*
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Tomography, X-Ray Computed / methods
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Treatment Outcome
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Vasodilator Agents / administration & dosage
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Vocal Cord Paralysis / diagnostic imaging
Substances
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Vasodilator Agents
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Tadalafil