Abstract

(CHEST 2008; 133:286–290) Abbreviations: Dlco diffusion capacity of the lung for carbon monoxide; HRCT high-resolution CT A 52-year-old female office worker, a lifelong nonsmoker, with a history of limited scleroderma associated with calcinosis, Raynaud phenomenon, sclerodactyly, and esophageal dysmotility was referred for evaluation of dyspnea. Limited scleroderma had been diagnosed 10 years previously, and she was without respiratory complaints until 2 months prior, when progressive dyspnea developed. Her rheumatoid factor was 29 U (normal 0 to 24 U) with an antinuclear antibody of 1:640 in a centromere pattern. Her anticentromere antibody was 1:5120.

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