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 BOF 134

 

   

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BOF:134

A 52 year old male presents with a history of fever and skin rash. He has been reasonably well in the past apart from his GP treating him with inhalers for recent onset asthma.

On examination he appears to have lost weight, he has a widespread purpuric rash and on auscultation of his chest you hear widespread rhonchi.

Investigations

WBC 22 x109/L

Neutrophils 5 x109/L

Lymphocytes 2 x109/L

Eosinophils 15 x109/L

Chest X-ray shows patchy bilateral shadows

In this patient the most likely diagnosis is?

a)    Eosnophilic pneumonia

b)    Allergic bronchopulmonary aspergillosis  

c)     Churg-Strauss syndrome

d)    Tropical pulmonary eosinophilia

e)    Wegener’s granulomatosis

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