Abstract

Presentation of Case An 86-year-old man was admitted to the hospital because of nodular pulmonary densities. He was in excellent health until seven months earlier, when glaucoma was found. Timolol ophthalmic drops were prescribed; marked lethargy and wheezing developed. Betaxolol hydrochloride ophthalmic drops were substituted, but the patient began to experience increasing exertional dyspnea, especially on climbing hills, although he remained capable of mowing his lawn. Five months before admission a daily cough appeared and was occasionally productive of white-to-yellow sputum. Three months later examination at this hospital showed mild, diffuse wheezing in both lungs. Pulmonary-function studies revealed that the . . .

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