28th August 2020

Sarah is a 50-year-old woman who has been taking oral corticosteroids for the last year to treat hypersensitivity pneumonitis

Sarah is a 50-year-old woman who has been taking oral corticosteroids for the last year to treat hypersensitivity pneumonitis. Unfortunately, the team has been unable to identify the causative substances. She still complains of progressive dyspnoea and a persistent dry cough. Her pulmonary function tests are continuing to decline, with her FEV₁ % predicted now at 30%; there is also radiologic characteristics of pulmonary fibrosis on high-resolution CT scanning. What management should Sarah consider?

Select the SINGLE most appropriate option from the list below. Select ONE option only.