TABLE 1

Differential diagnosis of granulomatous lung diseases

Infectious lung diseases
 MycobacteriaTuberculosis and nontuberculous mycobacteriosis
 Fungal infectionCryptococcus, Coccidioides, Histoplasma, Blastomyces and Aspergillus
 Aspiration pneumonia
 OthersSyphilis, Hansen's disease (leprosy), tularaemia, cat scratch disease, parasitic infections and Whipple's disease
Noninfectious lung diseases
 InflammatorySarcoidosis
Necrotising sarcoid granulomatosis
Bronchocentric granulomatosis
Inflammatory bowel disease
 Exposure/toxinsHypersensitivity pneumonitis
Drugs (methotrexate, interferon, Bacillus Calmette-Guérin, infliximab, etanercept, leflunomide, mesalamine and sirolimus)
Hot tub lung
Berylliosis
Talc
Metals (aluminium and zirconium)
Foreign body reaction
 VasculitisGranulomatosis with polyangiitis
Eosinophilic granulomatosis with polyangiitis
 Autoimmune diseasesRheumatoid nodule
 MalignancySarcoid-like lesions
Lymphomatoid granulomatosis
 OthersPulmonary Langerhans cell histiocytosis Granulomatous–lymphocytic interstitial lung disease