Tsukagoshi M, Ohno S, Sugiyama Y, Kitamura S, Saito K
Department of Pulmonary Medicine, Jichi Medical School, Tochigi, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1997 Oct;35(10):1119-23.
The patient, a 59-year-old woman, was admitted for further evaluation after a routine checkup in 1990 revealed an interstitial shadow chronic hypersensitivity pneumonia caused by her pigeons, was diagnosed. The patient later disposed of the pigeons and henhouse, where upon, she experienced dyspnea on exertion. In January 1995, the patient was admitted to our hospital with a progressive pulmonary interstitial shadow. Lung biopsy after thoracoscopic surgery revealed centrilobular fibrotic lesions, as well as, small honeycomb-like and granulomatous lesions. An antibody to the pigeon serum was detected in the patient's serum by the ouchterlony method. Chronic hypersensitivity pneumonia caused by pigeons is rare, and previously documented histological findings are few.
该患者为一名59岁女性，1990年常规体检发现间质性阴影后入院进一步评估，被诊断为鸽源性慢性过敏性肺炎。患者随后处理掉了鸽子和鸡舍，此后她在活动时出现呼吸困难。1995年1月，该患者因进行性肺间质阴影入住我院。胸腔镜手术后的肺活检显示小叶中心纤维化病变，以及小的蜂窝状和肉芽肿性病变。通过双向琼脂扩散法在患者血清中检测到鸽血清抗体。鸽源性慢性过敏性肺炎罕见，既往记录的组织学发现较少。
