Pigeon Breeder's Lung Disease and Interstitial Pulmonary Fibrosis

摘要: TO THE recognition that inhalation of organic dusts can provoke interstitial reactions such as farmer's lung,1bagassosis,2,3maple bark-stripper's lung,4and sequoiosis5has been added the recent discovery from birds initiate a similar reaction most often seen in pigeon breeders.6-9Fever, chills, and chest pain occur four to six hours after coop dust. Dyspnea, cough, weight loss develop gradually. Most investigators have described restrictive ventilatory defect diminished carbon monoxide diffusing capacity characteristic physiologic impairment. Precipitins antigens noted sera these patients, but their significance is not clearly understood.10,11Lung biopsy has revealed mononuclear cell infiltration. This report pulmonary pathophysiological findings 15-year-old boy at time diagnosis pigeonbreeder's lung disease two years later. Examination