Correct!
3. Drug-induced lung disease
All the diagnoses are possible. The biopsy findings are nonspecific. Autoimmune-induced lung disease was excluded by a negative autoimmune work up. Chronic aspiration remains a possibility although there are no clinical symptoms and no food particles are seen on the biopsy. Hypersensitivity pneumonitis is also possible as is idiopathic organizing pneumonia. The pattern with drug-induced lung disease is quite variable and can resemble hypersensitivity pneumonitis (2).
Assuming the diagnosis of drug-induced lung disease is correct, which of her medications should be stopped first? (Click on the correct answer to proceed to the next panel)