How do you or your practice manage young, average-risk patients without structural lung disease referred to you or self-referred for concern of environmental mold exposure?  

These individuals are generally managed by pulmonology and allergy/immunology clinics because the clinical presentation is generally more aligned with allergy-type symptoms like a chronic cough, congestion, or other symptoms associated with airway irritation. In individuals who are receiving chronic...

“Exposure” does not equal disease or infection. Exposure = exposure, no more, no less. Even for the most immunocompromised (BMT in our experience), we warn them to avoid exposure to the degree possible and probe carefully for signs and symptoms of disease, but nothing more. Of course, sh...