Pulmón del cuidador de palomas

Lamotte, G. Vizmanos; Fernandez, Jeffrey E.; Rams, M; Gall, Xavier Muñoz; Pardo, Encarna; Gaspà, M. Monzón; Ferrer, Marc; Martinez, Jeff

doi:10.1016/j.anpedi.2008.10.008

Cited by 2 publications

(12 citation statements)

References 8 publications

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“…( 1 - 8 ) Although HP is predominantly an occupational disease, seen in adulthood, cases in children have been described, most of which occurred after exposure to avian proteins. ( 4 , 6 ) …”

Section: Introductionmentioning

confidence: 99%

“…( 1 , 2 , 4 ) Skin tests and the presence of precipitating antibodies to the antigen are markers of exposure, but negative results do not exclude the diagnosis. ( 1 - 4 , 6 ) Inhalation challenge testing with the predisposing antigen is the best diagnostic method when diagnostic questions persist, but it must be performed in a hospital setting. ( 1 - 4 , 6 ) …”

Section: Introductionmentioning

confidence: 99%

“…( 1 - 4 , 6 ) Inhalation challenge testing with the predisposing antigen is the best diagnostic method when diagnostic questions persist, but it must be performed in a hospital setting. ( 1 - 4 , 6 ) …”

Section: Introductionmentioning

confidence: 99%

“…In the chronic phase, it is possible to find an obstructive pattern, and DLCO is usually decreased. ( 1 - 4 , 6 ) …”

Section: Introductionmentioning

confidence: 99%

“…Systemic corticosteroids are the treatment of choice in subacute and chronic forms. ( 1 - 4 , 6 ) The prognosis varies from full recovery in acute and non-progressive forms to pulmonary fibrosis in chronic forms. The degree of pulmonary fibrosis at diagnosis is the major prognostic factor.…”

Section: Introductionmentioning

confidence: 99%

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The value of family history in the diagnosis of hypersensitivity pneumonitis in children

Cardoso

Carvalho

2014

J. bras. pneumol.

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Hypersensitivity pneumonitis (HP), or extrinsic allergic alveolitis, is an immunologically mediated disease resulting from the inhalation of organic substances that trigger an inflammatory response in the alveolar wall, bronchioles, and interstitium in susceptible individuals. Although HP is predominantly an occupational disease, seen in adulthood, cases in children have been described. The diagnosis of HP requires a high degree of suspicion. The treatment consists in avoiding contact with the antigen, and, in some cases, systemic corticosteroids might be necessary in order to prevent its progression to pulmonary fibrosis. We report the clinical cases of three children with a history of contact with birds and a family history of HP. All three patients presented with cough and dyspnea on exertion. The disease was diagnosed on the basis of the clinical history and ancillary diagnostic test results consistent with the diagnosis, including a predominance of lymphocytes (> 60%, CD8+ T lymphocytes in particular) in bronchoalveolar lavage fluid and a ground-glass pattern seen on HRCT of the chest. Early diagnosis is crucial in order to prevent HP from progressing to pulmonary fibrosis. Hereditary factors seem to influence the onset of the disease.

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Section: Introductionmentioning

confidence: 99%