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Pathophysiology
Hypersensitivity pneumonitis ( HP ) is a spectrum of immune - mediated ____________________ characterized by diffuse inflammation of interstitial lung , ____________________ bronchioli , and alveoli . Inflammation is caused by prolonged or frequent exposure of inhaled antigens generally less ____________________ 5 ? m in size . Although offending antigens are ubiquitous , ____________________ incidence of disease is comparatively small . A two - hit mechanism has been proposed in which individuals either genetically ____________________ to the development of hypersensitivity pneumonitis or ____________________ with heavy environmental exposure are at increased risk of developing the disease . Antigen exposure constitutes the ____________________ hit , resulting in disease or disease progression . ____________________ said , to date , there have been no genetic factors consistently ____________________ with hypersensitivity pneumoniti s