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A 50 yr. old male presented with chronic breathlessness and intermittent jaundice. He denies smoking and alcohol abuse. Lung and liver specimens revealed the following findings respectively What is the most probable diagnosis?

A
Hemochromatosis
B
Cystic fibrosis
C
Alpha 1 antitrypsin deficiency
D
Wilsons disease
High-Yield Explanation
The lung specimen reveals diffusive panacinar emphysema. The liver biopsy shows PAS positive diastase resistant deposits. Both the above clues point towards option C. - Option A hemochromatosis would show pearls stain on liver biopsy. - Cystic fibrosis would show bronchiectasis.

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