• Chest · Aug 2017

    Case Reports

    A 54-Year-Old Man With Anasarca, Dyspnea, and Recurrent Bilateral Pleural Effusions.

    • Pradnya D Patil, Yvette M Cua, Carol Farver, Rafael L Perez, Atul C Mehta, and Tanmay S Panchabhai.
    • Department of Hospital Medicine, Medicine Institute, Cleveland Clinic, Cleveland, OH.
    • Chest. 2017 Aug 1; 152 (2): e39-e44.

    Case PresentationA 54-year-old African-American man presented with 2 years of progressively worsening dyspnea and anasarca. Over the past 6 months he gained 30 lbs with worsening lower extremity, abdominal wall, and scrotal edema. A recent workup for cardiac, renal, and liver disease, including two-dimensional echocardiogram, liver and renal function tests, and abdominal ultrasound, was unremarkable. He reported a 15-pack year history of smoking and quit 3 years ago. Chest radiograph at that time revealed bilateral pleural effusions that were both reportedly milky in appearance when drained by thoracenteses.Copyright © 2017 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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