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HYPERSENSITIVITY PNEUMONITIS - „ BIRD BREEDER'S (FANCIER'S) LUNG”- A Clinical case /

HIPERSENZITIVNI PNEUMONITIS - „ PLUĆA ODGAJIVAČA PTICA -GOLUBOVA”- Prikaz slučaja

Authors

 

Biljana Lazović1, Radmila Dmitrović1, Ivana Blažić1, Dzemail Detanac2, Rade Milić3, Sanja Šarac3, Dženana Detanac2, Nevena Jovičić4

1University clinical center "Zemun", Belgrade, Serbia
2General Hospital Novi Pazar, Serbia
3Military Medical Academy, Clinic for pulmonology, Belgrade, Serbia
4University Children's Hospital Belgrade, Serbia

 

UDK: 616.45-089-06(497.11)"2012/2016"


The paper was received / Rad primljen: 03.05.2020.

Accepted / Rad prihvaćen: 26.05.2020.

 


Correspondence to:


Biljana Lazović
University Clinical Center "Zemun", Belgrade, Serbia
Vukova 9, Zemun, 11080 Belgrade
Cell phone +381 62212040
e-mail: lazovic.biljana@gmail.com

 

 

Abstract

 

Hypersensitivity pneumonitis (HP) or extrinsic allergic alveolitis (EAA) is an inflammatory disease caused by repetitive inhalation of antigens.  Given that HP development is influenced by many etiological factors and the clinical presentation is diverse, it can be viewed as a syndrome with highly variable and very difficult to assess prevalence.  It is relatively infrequent disease, which accounts 2% of cases of interstitial lung diseases. Radiological findings, when present, may include ground glass opacities and mosaic attenuation on computed tomography. Clinical improvement upon removal of antigen helps cement diagnosis and facilitate the treatment of antigen avoidance and corticosteroids. We present an interesting case of hypersensitivity pneumonitis, particularly bird breeder's (fancier's) lung in a 67-year-old man old man exposed to birds which was his hobby (pigeons) whose symptoms occurred much later than the usual timeframe reported in the literature.

 

 

 

Ključne reči:

antigen, allergy, birds, hypersensitivity pneumonitis

 

 

Sažetak

 

Uvod: Hipersenzitivni pneumonitis (HP) ili spoljašnji alergijski alveolitis je zapaljenska bolest pluća prouzrokovana ponavljajućim udisanjem antigena. Uzimajući u obzir da na nastanak HP utiču različiti faktori, da je klinička prezentacija raznolika, može se posmatrati i kao sindrom sa veoma promenljivom i vrlo teškom procenom prevalence.  HP je relativno retka bolest, sačinjava 2% intersticijskih bolesti pluća. Radiografski nalazi, kada su prisutni, prezentuju se kao "ground glass" opacifikacije i prigušenje mozaika na kompjuterizovanoj tomografiji.  Kliničko poboljšanje nakon uklanjanja antigena pomaže postavljanju dijagnoze i olakšava lečenje izbegavanjem antigena i kortikosteroida. Prikazujemo slučaj HP, "pluća odgajivača ptica-golubova" kod 67 godina starog muškarca koji je stalnom kontaktu sa pticama, a što je inače i njegov hobi, čiji su se simptomi ispoljili mnogo kasnije nego što je uobičajeno prema podacima iz literature.

 

 

Key words:

antigen, alergija, ptice, hipersenzitivni pneumonitis

 

 

References:

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PDF Lazović B. et al • MD-Medical Data 2020;12(2): 097-100

 

 

 

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