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Diagnostic Dilemma| Volume 134, ISSUE 1, P57-59, January 2021

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Progressive Dyspnea and Pleural Effusion—When the Answer Lies Buried in the History

      A 65-year-old Caucasian male with past medical history of prostate cancer status post prostatectomy presented to his primary care provider's office with 1 month of progressive cough, dyspnea upon exertion, and fatigue. The patient was training for a marathon and had noticed a progressive decline in his exercise function and endurance. He is a lifetime non-smoker.
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      References

        • Lin W
        • Lu S
        • Chen H
        • et al.
        Clinical characteristics of immunoglobulin G4-related disease: a prospective study of 118 Chinese patients.
        Rheumatology (Oxford). 2015; 54: 1982-1990https://doi.org/10.1093/rheumatology/kev203
        • Stone JH
        • Zen Y
        • Deshpande V
        IgG4-related disease.
        N Engl J Med. 2012; 366: 539-551https://doi.org/10.1056/nejmra1104650
        • Arora K
        • Rivera M
        • Ting DT
        • Deshpande V
        The histological diagnosis of IgG4-related disease on small biopsies: challenges and pitfalls.
        Histopathology. 2019; 74: 688-698https://doi.org/10.1111/his.13787
        • Heeringa JJ
        • Faiz Karim A
        • van Laar JAM
        • et al.
        Expansion of blood IgG 4 + B, T H 2, and regulatory T cells in patients with IgG 4-related disease.
        J Allergy Clin Immunol. 2018; 141: 1831-1843.e10https://doi.org/10.1016/j.jaci.2017.07.024