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cough and dyspnoea of an asthmatic patient at mt. kilimanjaro: a difficult differential diagnosis.this case highlights the difficulties associated with the differential diagnosis of pulmonary symptoms in patients with pre-existing diseases in extreme environmental conditions. a 58-year-old man with child-onset allergic asthma developed dyspnoea and an acute non-productive cough during a trekking expedition on mt. kilimanjaro (5895m) in tanzania. the symptoms were believed initially to be linked to the high altitude exposure (high altitude pulmonary oedema (hape) or high altitude cough) or hi ...201020188301
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