“…Extrapulmonary manifestations such as joint involvement, skin rash, and systemic hypertension were detected in some patients [7]. Family history of similar conditions, and/ or history of environmental exposure to chemicals, dusts, and birds, is an important predisposing factors Abdel Megeid et al Journal of Genetic Engineering and Biotechnology (2022) 20:117 [8]. Diagnosis is based upon a comprehensive history, a careful physical examination, and review of laboratory data, physiologic studies, radiography, and, in some cases, pathologic tissue obtained from lung biopsy.…”