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@article{Cockbain:2019:10.1161/CIRCULATIONAHA.119.040833,
author = {Cockbain, B and Price, LC and Hind, M},
doi = {10.1161/CIRCULATIONAHA.119.040833},
journal = {Circulation},
pages = {880--885},
title = {Bony breathlessness: reversible pulmonary hypertension in melnick-needles syndrome using noninvasive ventilation},
url = {http://dx.doi.org/10.1161/CIRCULATIONAHA.119.040833},
volume = {140},
year = {2019}
}

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TY  - JOUR
AB  - Patient presentation: A 48-year-old woman with Melnick-Needles Syndrome (MNS, a congenital bony dysplasia) was referred because ofprogressive breathlessness and exertional presyncope.She described 12 months of progressive exertional dyspnea with reduced exercise tolerance. She could walk just 10 m on the flat and foundher office-based job unmanageable. There were features of exertional presyncope but no collapse, chest pain, cough, or palpitations. She reportedan inability to sleep supine, nocturia, morning headaches, and poor-quality, unrefreshing sleep.She had snored since childhood, improving after micrognathia surgeryin her 20s. Smoking history was modest: a 3 pack-year exposure quitting adecade earlier. She consumed minimal alcohol and no recreational drugs.She took no regular medication and reported no recent foreign travel.Aside from MNS, she had no other notable history.
AU  - Cockbain,B
AU  - Price,LC
AU  - Hind,M
DO  - 10.1161/CIRCULATIONAHA.119.040833
EP  - 885
PY  - 2019///
SN  - 0009-7322
SP  - 880
TI  - Bony breathlessness: reversible pulmonary hypertension in melnick-needles syndrome using noninvasive ventilation
T2  - Circulation
UR  - http://dx.doi.org/10.1161/CIRCULATIONAHA.119.040833
UR  - https://www.ncbi.nlm.nih.gov/pubmed/31479319
UR  - https://www.ahajournals.org/doi/full/10.1161/CIRCULATIONAHA.119.040833
UR  - http://hdl.handle.net/10044/1/73254
VL  - 140
ER  -

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