Haemoptysis and wheezing in a young woman.

A 25 year old woman was referred for the evaluation of haemoptysis. For one year she had been complaining of cough and recurrent blood streaked sputum, without dyspnoea, fever, chills or weight loss. She was not asthmatic, her childhood was free of pulmonary complaints, and there was no family history of pulmonary disease. Before this episode, she had been healthy. She had never smoked and had not been abroad recently. She worked as a laboratory technician in the Department of Cardiology.