Pigeon breeder's lung in childhood: is family screening necessary?
In this paper, we report on clinical and laboratory findings of pigeon breeder's lung (PBL) in a mother and her 2 children: 2 with the chronic recurrent form, and 1 with the chronic insidious form without any symptoms or signs, who was diagnosed during family screening. The index case was diagnosed as having primary pulmonary hypertension on admission. However, on evaluation, the diagnosis was of pigeon breeder's lung in the index case and her symptomatic mother. High-resolution computerized tomography (HRCT) revealed interstitial lung disease in an asymptomatic sister of the index case. All cases responded to steroid treatment, and at the end of the third month, HRCT findings disappeared. In conclusion, in patients with acute respiratory symptoms and rapidly recovering pulmonary hypertension after hospitalization, PBL should be remembered. All family members of the index case should be screened by HRCT in terms of interstitial lung disease, even if they are asymptomatic.
Ceviz
Naci
N
Division of Pediatric Cardiology, Atatürk University School of Medicine, Erzurum, Turkey. nceviz@atauni.edu.tr
Kaynar
Hasan
H
Olgun
Haşim
H
Onbaş
Omer
O
Misirligil
Zeynep
Z
D000328:Adult; D000818:Animals; D001716:Bird Fancier's Lung / Q000175:diagnosis* / Q000188:drug therapy*; D002648:Child; D005190:Family; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D020380:Needs Assessment; D011239:Prednisolone / Q000627:therapeutic use*; D013902:Radiography, Thoracic; D012008:Recurrence; D012494:Sampling Studies; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014421:Turkey
D011239:Prednisolone