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

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1 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 (November 2002) DOI: / Copyright © 2002 Mayo Foundation for Medical Education and Research Terms and Conditions

2 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  , DOI: ( / ) Copyright © 2002 Mayo Foundation for Medical Education and Research Terms and Conditions

3 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  , DOI: ( / ) Copyright © 2002 Mayo Foundation for Medical Education and Research Terms and Conditions

4 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  , DOI: ( / ) Copyright © 2002 Mayo Foundation for Medical Education and Research Terms and Conditions

5 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  , DOI: ( / ) Copyright © 2002 Mayo Foundation for Medical Education and Research Terms and Conditions


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