<abstract xmlns="http://www.w3.org/1999/xhtml">

<p>Hypersensitivity pneumonitis (HP) is a complex inflammatory and/or fibrotic immune-mediated disease that involves lung parenchyma and small airways caused by an inhaled antigen in susceptible individuals. It is currently the third most frequent interstitial lung disease (ILD) after idiopathic pulmonary fibrosis (IPF) and connective tissue disease with ILD. Diagnosis of HP is often challenging as identifying a causative agent is one of the main arguments in diagnosis along with specific serum IgG testing, suggestive HRCT and/or BAL, and in some cases histopathological findings. However, in up to 60 % of cases, exposure is not identified despite a thorough exposure history. HP is more frequent associated with occupational exposures, up to 20%, but non-occupational environmental exposure remains an important cause. We present a case of bird fancier’s lung that illustrates the challenges and the importance of identifying the culprit antigen as the elimination of exposure in combination with corticosteroids can lead to improvement in lung function, symptoms and leads to a better prognosis and may stop of evolving in sever fibrotic forms of HP.</p>
</abstract>

Hypersensitivity pneumonitis (HP) is a complex inflammatory and/or fibrotic immune-mediated disease that involves lung parenchyma and small airways caused by an inhaled antigen in susceptible individuals. It is currently the third most frequent interstitial lung disease (ILD) after idiopathic pulmonary fibrosis (IPF) and connective tissue disease with ILD. Diagnosis of HP is often challenging as identifying a causative agent is one of the main arguments in diagnosis along with specific serum IgG testing, suggestive HRCT and/or BAL, and in some cases histopathological findings. However, in up to 60 % of cases, exposure is not identified despite a thorough exposure history. HP is more frequent associated with occupational exposures, up to 20%, but non-occupational environmental exposure remains an important cause. We present a case of bird fancier’s lung that illustrates the challenges and the importance of identifying the culprit antigen as the elimination of exposure in combination with corticosteroids can lead to improvement in lung function, symptoms and leads to a better prognosis and may stop of evolving in sever fibrotic forms of HP.

An unexpected effect of teleworking: acute clinical manifestations of a hypersensitivity pneumonitis to home parrots

Universitaty of Medicine and Pharmacy „Carol Davila”

Romanian Journal of Occupational Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Hypersensitivity pneumonitis (HP) is a complex inflammatory and/or fibrotic immune-mediated disease that involves lung parenchyma and small airways caused by...

An unexpected effect of teleworking: acute clinical manifestations of a hypersensitivity pneumonitis to home parrots

Publicado en línea: 07 ene 2023

Páginas: 18 - 22

DOI: https://doi.org/10.2478/rjom-2022-0003

Palabras clave
hypersensitivity pneumonitis, interstitial lung disease, occupational lung disease

© 2022 Andreea Mutu et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

An unexpected effect of teleworking: acute clinical manifestations of a hypersensitivity pneumonitis to home parrots

Publicado en línea: 07 ene 2023

Páginas: 18 - 22

DOI: https://doi.org/10.2478/rjom-2022-0003

Palabras clavehypersensitivity pneumonitis, interstitial lung disease, occupational lung disease

© 2022 Andreea Mutu et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Palabras clave
hypersensitivity pneumonitis, interstitial lung disease, occupational lung disease