Chronic Dyspnea and Wheezing in a 46-Year-Old Nonsmoker

Abstract

A 46-year-old woman presented with a 2-year history of exertional dyspnoea and wheeze accompanied by chest tightness and fatigue. These symptoms had progressively worsened over the preceeding 4 to 6 months. She had no significant cough, hemoptysis, or chest pain, and there was no diurnal variation to her symptoms. The patient was a nonsmoker, had no history of asthma or atopy, had no significant family history, and did not take any regular medication.