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169868 Pathology

A 35-year-old man has a 5-year history of episodic wheezing and coughing. The episodes are more common during the winter months, and he has noticed that they often follow minor respiratory tract infections. In the period between the episodes, he can breathe normally. There is no family history of asthma or other allergies. On physical examination, there are no remarkable findings. A chest radiograph shows no abnormalities. A serum IgE level and WBC count are normal. Which of the following is the most likely mechanism that contributes to the findings in his illness?

AAccumulation of alveolar neutrophilic exudate
BBronchial hyperreactivity to chronic inflammation
CEmigration of eosinophils into bronchi
DHyperresponsiveness to Aspergillus spores
Pathology
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