Berylliosis in a 56-year-old welder

A 56-year-old female presented to her family doctor with insidious shortness of breath that had progressed over several months, from exertional dyspnea to shortness of breath at rest. She had no fever, night sweats, weight loss nor hemoptysis, and was otherwise asymptomatic. At the time of presentation, her medical history included sleep apnea and a mood disorder, which was being treated with a serotonin–norepinephrine reuptake inhibitor. She had never smoked.