A 76-year-old woman was admitted to the hospital with shortness of breath. She had tachypnea and was breathing through pursed lips. The patient had a long history of advanced chronic obstructive pulmonary disease (COPD), with a forced expiratory volume in 1 second of 21% of the predicted value. The pulmonary examination showed inspiratory retraction of the intercostal muscles and the suprasternal notch, along with diffuse, polyphonic expiratory wheezing with a prolonged expiratory phase. Symmetric, slanting regions of hyperpigmentation were noted on both thighs, a finding consistent with Dahl's sign, also known as Thinker's sign. Described in 1963 in a patient with severe COPD, Dahl's sign is caused by repeated pressure from the elbows on the epidermis of the thighs in patients spending large amounts of time in the tripod position, resulting in hyperpigmented, hyperkeratotic plaques. Although characteristically found on the thighs, Dahl's sign can also been seen on the elbows of patients who chronically lean forward on a hard surface, essentially creating a callus. As in our patient, this finding provides supporting evidence of disease chronicity and severity. Oral glucocorticoids and nebulized bronchodilators were prescribed, which provided minimal relief, and the patient was discharged home with hospice care.
I’ve been living with COPD for quite some time, and for years, I struggled to find lasting relief. While conventional medications provided temporary help, the symptoms always returned and often got worse.Out of a mix of hope and hesitation, I decided to try an herbal treatment program from NaturePath Herbal Clinic. I’ll admit, I was skeptical at first. But around the fourth month, I began to notice real, steady progress:My breathing became easier the tightness in my chest lessened my energy levels slowly started to return It wasn’t an overnight transformation, but it was consistent and truly life changing. For the first time in years, I feel more in control of my health. I can breathe more freely, sleep more peacefully, and enjoy daily life without the constant fatigue and breathlessness I once accepted as normal.The improvements I’ve experienced physically, emotionally, and mentally have been nothing short of uplifting.If you’re exploring natural options for managing COPD, I wholeheartedly recommend NaturePath Herbal Clinic. Their approach has made a real difference in my life, and I’m genuinely grateful I gave it a chance.www.naturepathherbalclinic.com info@naturepathherbalclinic.com