Khalid Rehman Yousaf, Jamil Akhtar, Nadia Nazir, Adila Iqbal, Asma Ashraf.
Combined Pulmonary Fibrosis and Emphysema Syndrome; an uncommon disease, commonly associated with pulmonary hypertension.
J Cardiovascular Dis Jul ;12(3):76-8.

A 54-year male presented with symptoms of progressive dyspnea on exertion and cough, predominantly dry for one year duration.There was no history of orthopnea. He was a cigarette smoker with a smoking index of 12 pack years. He had no history of fever, dust allergy or drug therapy.TB contact history was negative. There was no history of similar illness in the family members or any symptoms suggestive of connective tissue disease. His professional history was unremarkable. On physical examination, fingers clubbing was observed and on auscultation there were bibasilar fine end inspiratory crackles.

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