A 45-year-old man with asthma presents to the ER for an acute asthma exacerbation. He has a long history of asthma that, until recently, has been relatively well controlled. On further questioning the...

A 45-year-old man with asthma presents to the ER for an acute asthma exacerbation. He has a long history of asthma that, until recently, has been relatively well controlled. On further questioning the patient reveals that he has also experienced fever, malaise, and weight loss over the past year. CBC shows slightly increased WBCs with increased numbers of eosinophils. A chest x-ray is obtained and reveals patchy, nodular infiltrates. What of the following is the most likely diagnosis?

A. Pneumonia

B. Churg-Strauss syndrome

C. Goodpasture disease

D. Polyarteritis nodosa

E. Winiwarter-Buerger disease