Bird Fanciers Lung Which Developed in a Pigeon Breeder Presenting Organizing Pneumonia
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概要
- 論文の詳細を見る
Bird fanciers lung (BFL) is one of the most common types of hypersensitivity pneumonitis. We report a rare case of acute-on-chronic bird fanciers lung that developed in a pigeon breeder and presented subpleural curvilinear shadow and ground glass opacity on high-resolution computed tomography (HRCT) of the chest. The results of surgical lung biopsy showed mainly intraalveolar organization and alveolitis in addition to the pattern of usual interstitial pneumonia with centrilobular fibrosis. Examination of bronchoalveolar lavage (BAL) fluid revealed an increase in lymphocytes. The results of immunoglobulin (Ig) G and IgA antibodies against pigeon dropping extracts were positive in sera and BAL fluid. Consequently, the patient was diagnosed as having BFL. Avoidance of pigeons and corticosteroid therapy led to rapid improvement.
著者
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Sugino Keishi
Department of Respiratory Medicine, Toho University Omori Medical Center
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Sakamoto Susumu
Department of Respiratory Medicine, Toho University Omori Medical Center
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Sano Go
Department Of Respiratory Medicine Toho University Medical Center
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Sugino Keishi
Department Of Respiratory Medicine Toho University Medical Center
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Uekusa Toshimasa
Department Of Laboratory Medicine Kanto Rousai Hospital
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Sakaguchi Shinji
Department of Respiratory Medicine, Toho University Omori Medical Center
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Muramatsu Yoko
Department Of Geophysics Kyoto University
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Sato Keita
Department Of Biophysics Graduate School Of Science Kyoto University
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Hata Yoshinobu
Department Of Chest Surgery Toho University Medical Center Omori Hospital
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Homma Sakae
Department Of Respiratory Medicine Respiratory Center
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Kurosaki Atsuko
Department Of Diagnostic Radiology Toranomon Hospital
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Sakamoto Susumu
Department Of Cardiology Akashi Medical Center
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Shibuya Kazutoshi
Department Of Clinical Pathology School Of Medicine Toho University
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Takai Yujiro
Department Of Respiratory Medicine Toho University Omori Medical Center
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Isobe Kazutoshi
Department Of Respiratory Medicine Toho University Omori Medical Center
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Ito Takafumi
Department Of Applied Physics Nagoya University
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Satoh Daisuke
Department Of Cardiovascular Surgery Sakakibara Hospital Cardiovascular Center
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Ito Takafumi
Department of Respiratory Medicine, Toho University Omori Medical Center
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