Otis B. Rickman, DO, Jay H. Ryu, MD, Mary E

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Presentation transcript:

Hypersensitivity Pneumonitis Associated With Mycobacterium avium Complex and Hot Tub Use Otis B. Rickman, DO, Jay H. Ryu, MD, Mary E. Fidler, MD, Sanjay Kalra, MD Mayo Clinic Proceedings Volume 77, Issue 11, Pages 1233-1237 (November 2002) DOI: 10.4065/77.11.1233 Copyright © 2002 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 1 Case 1. Left, High-resolution computed tomography of the chest revealing patchy areas of ground-glass attenuation scattered in both lungs with air trapping on expiration. Right, Chest radiograph is normal 3 months after patient discontinued use of the hot tub. Mayo Clinic Proceedings 2002 77, 1233-1237DOI: (10.4065/77.11.1233) Copyright © 2002 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 2 Case 1. Photomicrograph of right lower lung wedge revealing well-formed nonnecrotizing granulomas centered on small airways (hematoxylin-eosin, original magnification x20). Mayo Clinic Proceedings 2002 77, 1233-1237DOI: (10.4065/77.11.1233) Copyright © 2002 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 3 Case 2. High-resolution computed tomography of the chest showing bilateral ground-glass opacities through the central portions of each lung with relative sparing in the periphery. Mayo Clinic Proceedings 2002 77, 1233-1237DOI: (10.4065/77.11.1233) Copyright © 2002 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 4 Case 2. Photomicrograph of right middle lobe wedge excision revealing a well-formed nonnecrotizing granuloma centered on a small airway (hematoxylin-eosin, original magnification x20). Mayo Clinic Proceedings 2002 77, 1233-1237DOI: (10.4065/77.11.1233) Copyright © 2002 Mayo Foundation for Medical Education and Research Terms and Conditions