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.
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