Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
Journal website http://www.journalmc.org

Case Report

Volume 8, Number 11, November 2017, pages 371-373


Hypersensitivity Pneumonitis: A Woman With Chronic Dyspnea

Figure

Figure 1.
Figure 1. Chest X-ray showing multiple ground-glass opacities.

Table

Table 1. Lab Results
 
Laboratory examinationsResults
FEV1: forced expiratory volume in 1 s; FVC: forced vital capacity.
CBC
  RBC count5.31
  Hemoglobin14.7 g/dL
  Hematocrit39%
  Mean corpuscular volume (MCV)85
  Mean corpuscular hemoglobin concentration (MCHC)33% Hb/cell
  Platelets215,000/mm3
  WBC count8,500/mm3
  Neutrophils59%
  Eosinophils1%
  Basophils0%
  Lymphocytes38%
Urinanalysis
  GlucoseNegative
  BilirubinNegative
  KetoneNegative
  Specific gravity1.017
  BloodNegative
  pH6.3
  ProteinNegative
  NitriteNegative
  LeukocytesNegative
Pulmonary function tests
  FEV1/FVC72%
Immunoglobulin test
  Immunoglobulin G1,842 mg/dL
  IgG antibody, serumPositive
Bronchoalveolar lavage
  % lymphocytes> 20%
  Mast cells1.8%