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January - March 2017: 
Volume 30, Issue 1

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First appearance of ipf as a severe exacerbation
Authors Information

Pneumonology Department of General Hospital of Serres, Greece

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A 65-year old man current smoker (70 pack-years) was admitted at Emergency Room with severe dyspnea, tachypnea, inspiratory crackles (Velcro) on chest auscultation, and severe hypoxemia which required a very high level FiO2 to maintain a minimum acceptable saturation.

He hadn’t mentioned occupational or environmental exposure to harmful factors. The patient was complaining of mild dyspnea on exertion during the last 3 months but it was not so severe to cause him to seek medical assistanceand which progressively worsened in the last two weeks. Laboratory studies revealed leukocytosis. CRP and RF are markedly elevated.

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