This happened 10-15 years back. A lady then aged 55 years having diabetes mellitus which was poorly controlled,with a leprotic lesion in the chin, was on glipizide and dapsone for about a year. She suddenly had severe vertigo with respiratory distress, so much so that she had a fall from bed and had a fracture in leg. She was admitted in Hospital and all sorts of examinations including MRI scan was done and only notable findings are: slight hypothyroidism and lowered o2 saturation level.
Oxygen inhalation continued, but the respiratory distress and lowered oxygen saturation of 52 persisted when all other parameters became normal. The hospital discharged the patient with the advice of oxygen inhalation throughout her life. Nobody could give me a clue about the diagnosis. Then a colleague of mine, who had not seen the patient and gave me an advice by which Oxygen saturation came to…
