A 60-Year-Old Man With Acute Chest Pain: A Common Presentation, But Unusual Diagnosis.

Alnabulsi, Rawaa; Tsushima, Takahiro; Shaniuk, Paul M · Chest · 2021

case_report · Level V

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Abstract

A 60-year-old man with a history of COPD, uncontrolled diabetes (hemoglobin A1c, 10.6%), obesity (BMI, 33.4), and a family history of Ehlers-Danlos syndrome came to the ED with several hours of acute-onset severe left mid-axillary pleuritic chest pain without alleviating factors. The pain had no specific triggers, including activities or heavy meals. It was associated with nausea, chills, and diaphoresis; also, it was preceded by a few weeks of subacute flulike symptoms for which he did not seek medical attention. He denied previous similar symptoms, recent trauma, or surgeries.

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