{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T21:24:30Z","timestamp":1787261070729,"version":"build-2736575974"},"reference-count":6,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","journal.chestnet.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["CHEST"],"published-print":{"date-parts":[[2026,5]]},"DOI":"10.1016\/j.chest.2025.11.023","type":"journal-article","created":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T09:21:46Z","timestamp":1778232106000},"page":"e165-e168","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["A 19-Year-Old Woman With Progressive Shortness of Breath and Nail Changes"],"prefix":"10.1016","volume":"169","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1492-8139","authenticated-orcid":false,"given":"Ala-Eddin S.","family":"Sagar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ihab","family":"Alshelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Ternati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Alrasheed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liju","family":"Ahmed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.chest.2025.11.023_bib1","series-title":"GeneReviews\u00ae","article-title":"Dyskeratosis congenita and related telomere biology disorders","author":"Savage","year":"1993"},{"issue":"6","key":"10.1016\/j.chest.2025.11.023_bib2","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1136\/heart.88.6.561","article-title":"Pathogenesis of pulmonary arteriovenous malformations: role of hepatopulmonary interactions","volume":"88","author":"Vettukattil","year":"2002","journal-title":"Heart"},{"issue":"1","key":"10.1016\/j.chest.2025.11.023_bib3","doi-asserted-by":"crossref","DOI":"10.1183\/13993003.01640-2016","article-title":"Pulmonary arteriovenous malformations: an uncharacterised phenotype of dyskeratosis congenita and related telomere biology disorders","volume":"49","author":"Khincha","year":"2017","journal-title":"Eur Respir J"},{"issue":"4","key":"10.1016\/j.chest.2025.11.023_bib4","doi-asserted-by":"crossref","first-page":"00209","DOI":"10.1183\/23120541.00209-2019","article-title":"Prognostic significance of pulmonary function tests in dyskeratosis congenita, a telomere biology disorder","volume":"5","author":"Giri","year":"2019","journal-title":"ERJ Open Res"},{"issue":"2","key":"10.1016\/j.chest.2025.11.023_bib5","article-title":"Update on pulmonary arteriovenous malformations","volume":"49","author":"Salibe-Filho","year":"2023","journal-title":"J Bras Pneumol"},{"key":"10.1016\/j.chest.2025.11.023_bib6","article-title":"Neurological and cardiopulmonary manifestations of pulmonary arteriovenous malformations","volume":"11","author":"Lu","year":"2024","journal-title":"Front Med (Lausanne)"}],"container-title":["CHEST"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0012369225058039?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0012369225058039?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T20:32:56Z","timestamp":1787257976000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0012369225058039"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":6,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["S0012369225058039"],"URL":"https:\/\/doi.org\/10.1016\/j.chest.2025.11.023","relation":{},"ISSN":["0012-3692"],"issn-type":[{"value":"0012-3692","type":"print"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"A 19-Year-Old Woman With Progressive Shortness of Breath and Nail Changes","name":"articletitle","label":"Article Title"},{"value":"CHEST","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.chest.2025.11.023","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 American College of Chest Physicians. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}