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IgE 3200+ 2x.. Worsening deep cough over 4 months..with mucus balls forced up. Wheezing. Itching. Sweating. Severe fatigue. Hx Sjogrens, interstitial lung disease (LIP), pre DM (likely due to recent, reluctant use of prednosone ), PCOS, Fibromyalgia, Raynaud's, meningioma L frontal convexity, opacification L maxillary sinus; spinal stenosis with peripheral neuropathy. Pending D&C once cough clears .to verify endometrial ca .