Uncommon late presentation of platypnea-orthodeoxia syndrome

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Laura Toffetti [1 ]
Marco Centola [1 ]
Laura Massironi [1 ]
Cristina Pipia [2 ]
Fabiano Di Marco [3 ]
Alessandro Colombo [4 ]
Emanuela Piccaluga [4 ]
机构
[1] Division of Cardiology,Ospedale San Paolo,University of Milan
[2] Divison of Internal Medicine,Ospedale San Paolo
[3] Division of Respiratory Medicine,University of Milan
[4] Division of Cardiology,Azienda Ospedaliera "Luigi
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<正>A 79-year-old man presented with progressive dyspnea,gradually worsening over a period of several weeks.His past medical history included hypertension,chronic hepatitis C without cirrhosis,ischemic stroke occurred at the age of 68 and chronic obstructive pulmonary disease(COPD)caused by long-term cigarette smoking.The patient was alert and oriented and not in acute distress.The physical examination of the chest revealed decreased breath sounds at the bases of the lungs,without crackles or wheezes.Heart sounds were regular without murmurs.The respiration rate was normal.Extremities had no cyanosis,clubbing or oe-
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