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General Medicine General e8743094

A 23-year-old woman has had several episodes of severe wheezing over the past 3 years. She is a nonsmoker and feels well in between episodes. She has no personal or family history of atopy. The wheezing episodes are most likely to occur in spring. Which of the following is the most likely mechanism of wheezing in this woman?

A
elevated IgE levels
B
mast cell instability
C
nonspecific hyperirritability of the tracheobronchial tree
D
disordered immediate hypersensitivity

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