Kurashima Kazuyoshi, Takayanagi Noboru, Ubukata Mikio, Tokunaga Daido, Matsushima Hidekazu, Sato Nagato, Maeno Yuri, Yanagisawa Tsutomu, Sugita Yutaka, Minoru Kanazawa, Kawabata Yoshinori
Department of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center, 1696 Itai, Konan, Ohsato, Saitama, Japan.
Nihon Kokyuki Gakkai Zasshi. 2003 Jun;41(6):416-20.
We followed up a case of chronic pigeon breeder's disease with progressive pulmonary cysts and recurrent pneumothorax. The patient was a 48-year-old man who started to breed pigeons 14 years ago. He was diagnosed 7 years ago as having hypersensitivity pneumonitis due to pigeons, but he refused to stay away from the birds until he experienced episodes of dyspnea on exertion 3 years ago. A chest CT scan showed multiple cysts and peribronchial fibrosis in both lungs. The pathological findings of video-assisted-tracheoscopic surgery showed a centribronchial granuloma with lymphocyte infiltrations. Tests for antibodies against pigeon extracts of droppings were positive. Even after steroid treatment and avoidance of pigeons 3 years ago, there have been progressive cysts and fibrosis in the lungs. Progressive pulmonary cysts with recurrent pneumothorax is a rare manifestation as a chronic pigeon breeder's disease.
我们随访了一例患有进行性肺囊肿和复发性气胸的慢性养鸽者病患者。患者为一名48岁男性，14年前开始养鸽。他于7年前被诊断为因鸽子引起的过敏性肺炎，但直到3年前出现劳力性呼吸困难发作时才拒绝接触鸽子。胸部CT扫描显示双肺有多个囊肿和支气管周围纤维化。电视辅助胸腔镜手术的病理结果显示为中心支气管肉芽肿伴淋巴细胞浸润。针对鸽粪提取物的抗体检测呈阳性。即使在3年前接受了类固醇治疗并避免接触鸽子后，肺部仍出现了进行性囊肿和纤维化。进行性肺囊肿伴复发性气胸是慢性养鸽者病的一种罕见表现。
