07-02-2012, 05:15 AM
A 28-year-old woman has noted occasional dyspnea for the past 13 months. She has also noted a non-productive cough and mild fever. Her symptoms improve when she is on vacation. A chest radiograph reveals nodular infiltrates. A transbronchial lung biopsy reveals microscopic findings consistent with an extrinsic allergic alveolitis with interstitial infiltrates composed of lymphocytes along with a few neutrophils and eosinophils. Which of the following is most likely to explain her findings?
A Parrots in her house
B Heavy cigarette smoking
C Downwind from a lead smelter.
D Abusing crack cocaine
E Systemic lupus erythematosus.
A Parrots in her house
B Heavy cigarette smoking
C Downwind from a lead smelter.
D Abusing crack cocaine
E Systemic lupus erythematosus.