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A Pigeon Fancier’s Lung; Subacute on Chronic Hypersensitivity Pneumonitis

Author:

A. Peiris

Postgraduate Traine in Clinical Medicine, LK
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Abstract

Pigeon fancier’s lung, a form of hypersensitivity pneumonitis (HP), is a rare but important occupa­tional and recreational preventable cause of severe and debilitating breathlessness. We report a case of a 44-year-old Sri Lankan lady presenting with pro­gressive severe breathlessness due to pigeon fan­cier’s lung. She has bred pigeons for 20 years. She was hypoxemia at rest. There were reticular nodular opacities and diffuse ground glass opacities, inter- and intralobular thickening with subpleural sparing on high resolution imaging. She had marked im­provement to glucocorticoid pulses. We diagnosed this patient as subacute on chronic HP considering clinical and radiological evidence. Avoidance of al­lergen and steroids advised with regular follow up to monitor progression.
DOI: https://doi.org/10.4038/jrcs.v25i1.74
How to Cite: Peiris, A., 2020. A Pigeon Fancier’s Lung; Subacute on Chronic Hypersensitivity Pneumonitis. Journal of the Ruhunu Clinical Society, 25(1), pp.66–68. DOI: http://doi.org/10.4038/jrcs.v25i1.74
Published on 19 Dec 2020.
Peer Reviewed

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