Nehama Rivlin, the wife of Israeli President Reuven Rivlin, died at Beilinson Hospital in Petah Tikva on Tuesday, a day before her 74th birthday.

Israel’s first lady had suffered from pulmonary fibrosis, a condition in which scar tissue accumulates in the lungs and makes it difficult to breathe.

She was usually seen in public with a portable oxygen tank, including when accompanying her husband at official ceremonies.

 She underwent a lung transplant on March 11.

This article first appeared in Israel Hayom.