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Feather duvet lung.
Liu-Shiu-Cheong, Patrick; Kuo, Chris RuiWen; Wilkie, Struan Wa; Dempsey, Owen.
Afiliación
  • Liu-Shiu-Cheong P; Respiratory Medicine, Victoria Hospital, Kirkcaldy, UK.
  • Kuo CR; Respiratory Medicine, Aberdeen Royal Infirmary, Aberdeen, UK.
  • Wilkie SW; Radiology, Aberdeen Royal Infirmary, Aberdeen, UK.
  • Dempsey O; Respiratory Medicine, Aberdeen Royal Infirmary, Aberdeen, UK owen.dempsey@nhs.net.
BMJ Case Rep ; 12(11)2019 Nov 18.
Article en En | MEDLINE | ID: mdl-31740449
ABSTRACT
A 43-year-old non-smoker was referred with a 3-month history of malaise, fatigue and breathlessness. Blood avian precipitins were strongly positive. Lung function testing confirmed a restrictive pattern with impaired gas transfer. A 'ground glass' mosaic pattern was seen on CT imaging, suggestive of hypersensitivity pneumonitis. Although he had no pet birds, on closer questioning he had recently acquired a duvet and pillows containing feathers. His symptoms, chest radiograph and lung function tests improved after removal of all feather bedding, and he was also started on oral corticosteroid therapy. Our case reinforces the importance of taking a meticulous exposure history and asking about domestic bedding in patients with unexplained breathlessness. Prompt recognition and cessation of antigen exposure may prevent the development of irreversible lung fibrosis.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Ropa de Cama y Ropa Blanca / Pulmón de Criadores de Aves / Plumas Tipo de estudio: Diagnostic_studies / Etiology_studies Límite: Adult / Animals / Humans / Male Idioma: En Revista: BMJ Case Rep Año: 2019 Tipo del documento: Article País de afiliación: Reino Unido

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Ropa de Cama y Ropa Blanca / Pulmón de Criadores de Aves / Plumas Tipo de estudio: Diagnostic_studies / Etiology_studies Límite: Adult / Animals / Humans / Male Idioma: En Revista: BMJ Case Rep Año: 2019 Tipo del documento: Article País de afiliación: Reino Unido