title: [A misleading form of hypersensitivity pneumonitis].
abstract: A 47-year-old woman, without significant past medical history, presented an acute dyspnea with hypoxia, marked pulmonary arterial hypertension (PAH) and signs of right heart failure. Chest x-ray showed a moderate dilatation of the right heart cavities. Pulmonary embolism was suggested. After detailed questioning and complete explorations, a bird hypersensitivity pneumonitis (HP) was demonstrated. This case illustrates a misleading presentation of an acute form of HP consisting of apparently isolated PAH.
authors.affiliation: Service de Pneumologie, CHU, bd Fleming, 25000 Besançon.
authors.forename: M
authors.initials: M
authors.lastname: Gainet
authors.forename: H
authors.initials: H
authors.lastname: Chaudemanche
authors.forename: V
authors.initials: V
authors.lastname: Westeel
authors.forename: A
authors.initials: A
authors.lastname: Lounici
authors.forename: A
authors.initials: A
authors.lastname: Dubiez
authors.forename: A
authors.initials: A
authors.lastname: Depierre
authors.forename: J C
authors.initials: JC
authors.lastname: Dalphin
mesh_terms: D001716:Bird Fancier's Lung / Q000175:diagnosis* / Q000473:pathology; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000209:etiology; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary; D000860:Hypoxia / Q000209:etiology; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000175:diagnosis; D013902:Radiography, Thoracic