Respir Case Rep. 2014; 3(2): 126-129 | DOI: 10.5505/respircase.2014.21043

INTERACTIVE CASE REPORT: Hypersensitivity Pneumonitis Caused by Pigeon Contact

Pýnar Yýldýz Gülhan, Aydanur Ekici, Ömür Güngör, Emel Bulcun, Mehmet Ekici
Department of Pulmonary Medicine, University of Kirikkale, Faculty of Medicine, Kirikkale,

Hypersensitivity pneumonitis (HP) is a non-IgE-mediated hypersensitivity reaction which is caused by repeated inhalation of allergens in the patient has been previously sensitized. The most important point in the diagnosis is to consider HP and to profoundly question the environmental and occupational exposure. A 54-year-old, female suffering from shortness of breath, fatigue, myalgia for two years admitted to our hospital. Fine crackles were auscultated. Reticular and micronodular opacities were observed at chest X-ray. Diffusion capacity of the patient was low. High resolution computed tomography revealed ground glass opacities, interlobular septal thickening, and mosaic attenuation areas in the lung field. As the patient had contact history with pigeon she was diagnosed with HP. With proper treatment and removal of influential factors, such findings of regression were observed. The current case is presented due to its rarity.

Keywords: pigeon contact, Hypersensitivity pneumonitis, interstitial lung disease

---

ÝNTERAKTÝF OLGU SUNUMU: Güvercin Temasý Sonucu Geliþen Hipersensitivite Pnömonisi

Pýnar Yýldýz Gülhan, Aydanur Ekici, Ömür Güngör, Emel Bulcun, Mehmet Ekici
Kýrýkkale Üniversitesi Týp Fakültesi Göðüs Hastalýklarý Ana Bilim Dalý, Kýrýkkale

Hipersensitivite pnömonisi (HP); duyarlýlaþmýþ kiþilerde çeþitli allerjenlerin tekrarlayan inhalasyonu sonucu meydana gelen IGE aracýlý olmayan bir hipersensitivite reaksiyonudur. Tanýda en önemli nokta HP düþünmek ve buna yönelik maruziyeti hem çevresel hem de mesleksel olarak ayrýntýlý sorgulamaktýr. Elli dört yaþýnda kadýn ve 2 yýldýr nefes darlýðý, halsizlik ve miyalji þikayeti olan hastanýn Fizik muayenesinde fibrotik ralleri mevcuttu. Posteroanterior akciðer grafisinde retiküler ve mikronodüler görünümleri vardý. Difüzyon testi düþüktü. Yüksek çözünürlüklü bilgisayar tomografisinde interlobuler septalarý kalýn, buzlu cam dansitesinde alanlar ve mozaik atenüasyon görüldü. Hikayesinde güvercin maruziyeti bulunan hastaya HP tanýsý kondu. Uygun tedavi ve etkenden uzaklaþtýrýlmasý ile bulgularýnda regresyon izlendi. Biz olgumuzu nadir görülmesi nedeniyle sunduk.

Anahtar Kelimeler: güvercin temasý, Hipersensitivite pnömonisi, interstisyel akciðer hastalýðý

---

Image Slices of the Case

Geliþ YÇBT: belirgin buzlu cam dansitesinde alanlar, mozaik atenuasyon, interlobuler alanlarda kalýnlaþma ve sentriasiner nodüller



Tedavi sonrasý YÇBT bulgularýnda belirgin regresyon

---

CITE