Ito S, Shima K, Sahashi K, Suzuki M, Tunekawa H, Torii Y, Sennda Y, Miyachi A, Ina Y, Takada K
Department of Respiratory Disease, Nagoya Second Red Cross Hospital, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1990 Feb;28(2):379-85.
A 73-year-old woman developed dry cough and exertional dyspnea. She had been breeding pigeons for thirty years. Her serum showed positive precipitin reaction against pigeon serum. Furthermore the lymphocyte stimulation test against pigeon serum was positive. An X-ray film of the chest showed diffuse ground glass infiltrate, fine nodular shadows and reticular shadows. Histopathology revealed diffuse interstitial infiltration with mononuclear cells and occasional giant cell formation as well as granuloma formation in the bronchiole. The symptoms subsided after admission. From these results, this case was diagnosed as pigeon breeder's disease. She had the subacute form probably because of her old age and smoking. It could be that exacerbation of pneumonitis was caused by cessation of smoking in an attempt to alleviate the symptoms. This is the fifth case reported in Japan.
一名73岁女性出现干咳和劳力性呼吸困难。她养鸽30年。其血清对鸽血清沉淀素反应呈阳性。此外，针对鸽血清的淋巴细胞刺激试验呈阳性。胸部X线片显示弥漫性磨玻璃样浸润、细小结节影和网状影。组织病理学显示弥漫性间质单核细胞浸润，偶见巨细胞形成以及细支气管肉芽肿形成。入院后症状缓解。根据这些结果，该病例被诊断为养鸽者病。可能由于她年事已高且吸烟，所以呈现亚急性形式。可能是为了缓解症状而戒烟导致了肺炎加重。这是日本报告的第五例病例。
