title: [Clinical evaluation of bird related hypersensitivity pneumonitis].
abstract: We retrospectively evaluated 8 cases of bird related hypersensitivity pneumonitis in Tenri hospital, all of whom underwent surgical lung biopsy. They had a history of contacting with birds and had serological studies using lymphocyte stimulation test to pigeon serum or antibody in serum and bronchoalveolar lavage fluid to pigeon dropping extracts yielded positive results. Computed tomography revealed a radiographic pattern unlike typical UIP. The result of pathological diagnosis of surgical lung biopsy was 'others' or NSIP pattern. Only one case had pathological findings of granuloma. Four cases had an improved or stable course only offer segregation from bird antigens. The other four cases needed corticosteroids and immunosuppressants, and two of the four cases had a progressive course and died of respiratory failure.
authors.affiliation: Department of Respiratory Medicine, Tenri Hospital.
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Inoue
authors.forename: Eisaku
authors.initials: E
authors.lastname: Tanaka
authors.forename: Minoru
authors.initials: M
authors.lastname: Sukuramoto
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Minakuchi
authors.forename: Yuji
authors.initials: Y
authors.lastname: Maeda
authors.forename: Ko
authors.initials: K
authors.lastname: Maniwa
authors.forename: Kunihiko
authors.initials: K
authors.lastname: Terada
authors.forename: Kiminobu
authors.initials: K
authors.lastname: Tanizawa
authors.forename: Seishu
authors.initials: S
authors.lastname: Hashimoto
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Goto
authors.forename: Tomoshi
authors.initials: T
authors.lastname: Takeda
authors.forename: Masaki
authors.initials: M
authors.lastname: Okamoto
authors.forename: Yoichiro
authors.initials: Y
authors.lastname: Kobashi
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Yuba
authors.forename: Satoshi
authors.initials: S
authors.lastname: Noma
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Yoshizawa
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Ohtani
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Taguchi
mesh_terms: D000368:Aged; D000542:Alveolitis, Extrinsic Allergic / Q000175:diagnosis*; D000818:Animals; D001706:Biopsy; D001716:Bird Fancier's Lung / Q000175:diagnosis*; D010856:Columbidae; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008168:Lung / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies