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[DOI] [PubMed] [Google Scholar] Chou C-Y, Jen W-P, Hsieh Y-H, Shiao M-S, Chang G-G

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Fatigue and pain with walking are hallmark symptoms of PVD

Thus, not only is air pollution associated with documented cases of ILD, but it may be associated with subclinical or antecedent cases of pulmonary fibrosis, which occur much before the development of actual symptoms