title: A 63-Year-Old Woman With Progressive Dyspnea After Remission of Lymphoma.
abstract: A 63-year-old woman visited our hospital for a further evaluation of progressive dyspnea. She had developed a progressive airflow obstruction after 3 years' remission of non-Hodgkin's lymphoma (follicular mixed cell type), which had been treated with chemotherapy (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone). The patient's primary care physician had diagnosed her as having COPD and bronchial asthma and had treated her with medications including inhaled corticosteroids, tiotropium, and oral erythromycin. Her dyspnea had gradually worsened, however, and she had a score of 4 on the modified Medical Research Council dyspnea scale at the time of admission to our hospital.
authors.affiliation: Department of Psychosomatic Medicine, National Hospital Organization, Fukuoka National Hospital, Fukuoka, Japan; Department of Psychosomatic Medicine, Graduate School of Medical Science, Kyushu University, Fukuoka, Japan.
authors.forename: Tomoe
authors.initials: T
authors.lastname: Nishihara
authors.affiliation: Department of Respiratory Medicine, National Hospital Organization, Fukuoka National Hospital, Fukuoka, Japan. Electronic address: nakano_h@palette.plala.or.jp.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Nakano
authors.affiliation: Department of Respiratory Medicine, National Hospital Organization, Fukuoka National Hospital, Fukuoka, Japan.
authors.forename: Hiroko
authors.initials: H
authors.lastname: Nogami
authors.affiliation: Department of Respiratory Medicine, Graduate School of Medical Science, Kyushu University, Fukuoka, Japan.
authors.forename: Katsuyuki
authors.initials: K
authors.lastname: Katahira
authors.affiliation: Department of Respiratory Medicine, National Hospital Organization, Fukuoka National Hospital, Fukuoka, Japan.
authors.forename: Akiko
authors.initials: A
authors.lastname: Ishimatsu
authors.affiliation: Department of Respiratory Medicine, Graduate School of Medical Science, Nagoya University, Nagoya, Japan.
authors.forename: Naozumi
authors.initials: N
authors.lastname: Hashimoto
authors.affiliation: Department of Pathology, Nagoya Ekisaikai Hospital, Nagoya, Japan.
authors.forename: Toyoharu
authors.initials: T
authors.lastname: Yokoi
authors.affiliation: Department of Respiratory Medicine, National Hospital Organization, Fukuoka National Hospital, Fukuoka, Japan.
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Iwanaga
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001249:Asthma / Q000175:diagnosis; D001989:Bronchiolitis Obliterans / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology; D003951:Diagnostic Errors; D004417:Dyspnea / Q000209:etiology*; D005260:Female; D005541:Forced Expiratory Volume; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging* / Q000473:pathology; D008224:Lymphoma, Follicular / Q000188:drug therapy*; D008875:Middle Aged; D011653:Pulmonary Diffusing Capacity; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis; D013902:Radiography, Thoracic; D012074:Remission Induction; D012129:Respiratory Function Tests; D012135:Respiratory Sounds; D014057:Tomography, X-Ray Computed