Persistent dyspnea and leg edema
This case illustrates a complexity of confounding and overlapping symptoms that can masquerade as another diagnosis. A 56-year-old African American man with persistent dyspnea and leg edema was hospitalized three times in a period of 6 months. The patient was treated for asthma, chronic
obstructive pulmonary disease, and congestive heart failure. Hypertension and peptic ulcer disease were treated also. Complete clinical improvement was not observed. A careful review of his last admission and current admission clinical presentation and laboratory evaluation revealed a systemic
manifestation and laboratory findings consistent with atypical systemic lupus erythematosus.
Keywords: Asthma; CHF; COPD; SLE; atypical; chest pain; diagnosis; dyspnea; edema; problem solving case
Document Type: Case Report
Affiliations: New York College of Osteopathic Medicine, Old Westbury, New York
Publication date: 01 July 2007
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