Pedro Abreu João, Esteves Joana, Boncoraglio Maria Teresa, Pereira Francisca M, Costa Carla, Oliveira Carlos
Internal Medicine Department, Hospital Santa Maria Maior, Barcelos, Portugal.
Eur J Case Rep Intern Med. 2020 Mar 20;7(5):001565. doi: 10.12890/2020_001565. eCollection 2020.
Hypersensitivity pneumonitis is understood to be a delayed allergic reaction to the repeated exposure of a usually innocent inhaled agent, causing inflammatory damage to the pulmonary parenchyma, alveoli and terminal bronchioles. With ongoing exposure, it can cause respiratory compromise and pulmonary fibrosis. Recognizing the heterogeneity of the causative agents and the low incidence of the disease, we considered it important to report the case of a greenhouse worker who developed a . related hot-tub lung hypersensitivity pneumonitis. We believe it to be the first reported case of a greenhouse occupational hypersensitivity pneumonitis due to .
Enquiring about environmental and occupational exposure during anamnesis is fundamental, particularly when addressing respiratory tract symptoms.The mainstay management of hypersensitivity pneumonitis is based on eviction of the offending agent and control of inflammation, currently with corticosteroids.Antigen source removal may entail important psychological, social and economic consequences for the patient and will need a multidisciplinary approach.
过敏性肺炎被认为是对通常无害的吸入剂反复接触所引发的迟发性过敏反应，会对肺实质、肺泡和终末细支气管造成炎性损伤。持续接触会导致呼吸功能受损和肺纤维化。鉴于致病因素的异质性以及该疾病的低发病率，我们认为报告一例患有一种相关的热浴盆肺过敏性肺炎的温室工人病例很重要。我们认为这是首例因……导致的温室职业性过敏性肺炎的报告病例。
问诊时询问环境和职业暴露情况至关重要，尤其是在处理呼吸道症状时。过敏性肺炎的主要治疗方法是去除致病因素并控制炎症，目前使用皮质类固醇。去除抗原来源可能会给患者带来重要的心理、社会和经济后果，需要多学科方法来处理。
