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Image Challenge This 75-year-old man presented with cough and hoarseness. What is the most likely cause of his appearance?

This 75-year-old man presented with cough and hoarseness. What is the most likely cause of his appearance?

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Question

This 75-year-old man presented with cough and hoarseness. What is the most likely cause of his appearance?

Superior vena cava syndrome
Mitral stenosis
Chronic obstructive airways disease
Angioedema
Systemic lupus erythematosus
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