A 29-year-old African American woman is being evaluated for exertional dyspnea and dry cough. She has no significant medical history and takes no medications. The patient works part-time as a bird keeper at a zoo. She smokes 4 packs daily. CT-guided lung biopsy is performed; findings are shown in the image below. This patient most likely has which of the following conditions?

Question

A 29-year-old African American woman is being evaluated for exertional dyspnea and dry cough.  She has no significant medical history and takes no medications.  The patient works part-time as a bird keeper at a zoo.  She smokes 4 packs daily. CT-guided lung biopsy is performed; findings are shown in the image below.  This patient most likely has which of the following conditions?

Quizplus · Accepted Answer

Eductional Objective: Sarcoidosis often presents in young women with the insidious onset of respiratory symptoms (eg, cough, dyspnea, chest pain) accompanied by fatigue, fever, and weight loss.  The characteristic histopathologic feature is noncaseating granulomas, which consist of aggregates of epithelioid macrophages, frequently with multinucleated giant cells.

A 29-Year-Old African American Woman Is Being Evaluated for Exertional