Pheasant rearer’s lung

A 47-year-old gamekeeper presented with an 8 month history of variable breathlessness, cough and clinical features of severe interstitial lung disease. Open lung biopsy showed an extrinsic allergic alveolitis, which we believe related to his work rearing pheasants. Initially he was resistant, despit...

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Bibliographic Details
Published in:Occupational medicine (Oxford) 2004-10, Vol.54 (7), p.500-503
Main Authors: Partridge, S. J., Pepperell, J. C. T., Forrester-Wood, C., Ibrahim, N. B. N., Raynal, A., Swinburn, C. R.
Format: Article
Language:English
Subjects:
Allergic diseases
Animal Husbandry
Animals
Biological and medical sciences
Bird Fancier's Lung - diagnosis
Bird Fancier's Lung - etiology
Bird Fancier's Lung - pathology
Extrinsic allergic alveolitis
Fatal Outcome
Humans
Immunopathology
Male
Medical sciences
Middle Aged
Occupational Diseases - diagnosis
Occupational Diseases - etiology
Occupational Diseases - pathology
occupational lung disease
pheasants
Poultry
Respiratory and ent allergic diseases
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Summary:A 47-year-old gamekeeper presented with an 8 month history of variable breathlessness, cough and clinical features of severe interstitial lung disease. Open lung biopsy showed an extrinsic allergic alveolitis, which we believe related to his work rearing pheasants. Initially he was resistant, despite advice, to changing his occupation but subsequently, although ceasing exposure to pheasants and beginning treatment with corticosteroids, his disease progressed to the point where he developed respiratory failure and was referred for lung transplantation. Sadly, he died of progressive respiratory failure and cor pulmonale complicated by bronchopneumonia before this could be achieved.
ISSN:0962-7480
1471-8405
DOI:10.1093/occmed/kqh092