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Residents’ clinic
65-Year-Old Man With Weight Loss and Dyspnea on Exertion
Mayo Clinic Proceedings
Vol. 97Issue 7p1363–1368Published in issue: July, 2022
- Nathan Nesbitt
- Max J. Martin
- Patricio Escalante
Cited in Scopus: 0
A 65-year-old man, a nonsmoker, presented to the hospital in mid-February 2021 with a 30- to 40-lb weight loss over 2 to 3 months and profound fatigue. He also endorsed dyspnea on exertion, a productive cough, and profuse watery diarrhea for several days. Clinical comorbidities included a diagnosis of Mantle cell lymphoma (MCL) in remission after treatment with chemotherapy (cyclophosphamide, vincristine, doxorubicin), autologous stem cell transplant (ASCT) in May 2019 and maintenance rituximab every 8 weeks, hypogammaglobinemia, hypertension on lisinopril, type 2 diabetes mellitus (T2DM) on metformin, and coronary artery disease on aspirin and atorvastatin.