Hypersensitivity pneumonitis induced by spores of Pholiota nameko.
A 42-year-old man experienced recurrent episodes of nonproductive cough, fever, and dyspnea on exertion. He had worked as a mushroom farmer for 10 years. The diagnosis of hypersensitivity pneumonitis was confirmed immunologically by detecting a precipitin to spores of Pholiota nameko but not to other antigens. After separation from the antigen along with an addition of corticosteroid therapy, the symptoms, inflammatory findings and a reduced level of PaO2 quickly subsided.
Inage
M
M
First Department of Internal Medicine, Yamagata University School of Medicine.
Takahashi
H
H
Nakamura
H
H
Masakane
I
I
Tomoike
H
H
D000328:Adult; D000542:Alveolitis, Extrinsic Allergic / Q000175:diagnosis / Q000209:etiology*; D000908:Antibodies, Fungal / Q000097:blood; D000946:Antigens, Fungal; D001487:Basidiomycota / Q000276:immunology*; D001992:Bronchoalveolar Lavage Fluid / Q000166:cytology; D006801:Humans; D008297:Male; D009784:Occupational Diseases / Q000175:diagnosis / Q000209:etiology*; D011234:Precipitins / Q000097:blood; D013172:Spores, Fungal / Q000276:immunology
D000908:Antibodies, Fungal; D000946:Antigens, Fungal; D011234:Precipitins