• Vasilios Tzilas, Leonidas Marinos, Argyrios Tzouvelekis, and Demosthenes Bouros.
• First Academic Department of Pneumonology, Interstitial Lung Diseases Unit, Hospital for Diseases of the Chest, "Sotiria," Medical School, National and Kapodistrian University of Athens, Athens, Greece. Electronic address: tzilasvasilios@gmail.com.
• Chest. 2020 Sep 1; 158 (3): e117-e121.

Case PresentationA 77-year-old woman was referred to our interstitial lung disease unit. She presented with a history of progressive dyspnea on exertion and nonproductive, persistent cough over the previous year. She was diagnosed with Sjogren syndrome two years ago by a rheumatologist. In the context of Sjogren syndrome, she reported chronic xerostomia and xerophthalmia for the last 5 years. Her history was also notable for the presence of arterial hypertension and hypothyroidism. She denied the presence of shortness of breath, chest pain, arthralgia, muscle weakness, weight loss, night sweats, and fatigue. She reported exposure to house mold. There was no family history of respiratory diseases. The patient never smoked and denied alcohol consumption, illicit drug use, or any occupational exposures.Copyright © 2020 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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