Rheumatology in practice

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A rheumatological cause of dyspnoea in a young woman
RDIP, Volume 6, Number 1.

A 29-year-old student nurse was admitted with a rapid onset of breathlessness accompanied by central, non-radiating chest pain at rest. She denied any cough, productive sputum, haemoptysis or orthopnoea. She and her husband had joined a gym 18 months previously, and while he became fitter she became dyspnoeic. Her symptoms had accelerated rapidly in the past fortnight. Her weight was stable and she had no risk factors for venous thrombosis.

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