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Case 23 

Case 23
Chapter:
Case 23
Author(s):

Joel David

, Anne Miller

, Anushka Soni

, and Lyn Williamson

DOI:
10.1093/med/9780199587506.003.0023
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date: 23 October 2019

A 51-year-old man presented with a 2-day history of increasing exertional breathlessness and cough productive of a moderate amount of fresh blood. Over the preceding 3 weeks he had felt very fatigued and noticed migratory joint and muscle pains. On further enquiry, he had seen his GP several times in the last year for a recurrent blocked nose which had been treated as allergic sinusitis. In the past month his nasal symptoms had changed to a foul-smelling discharge. He had no significant past medical history.

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