0
Diffuse Lung Disease |

A Case of Hypersensitivity Pneumonitis and Imaging Response to Treatment

Bora Kalaycioglu, MD; Can Bicakoglu, MD
Author and Funding Information

SEKA Govermental Hospital, Kocaeli, Turkey


Chest. 2013;144(4_MeetingAbstracts):444A. doi:10.1378/chest.1703740
Text Size: A A A
Published online

Abstract

SESSION TITLE: Interstitial Lung Disease Global Case Reports

SESSION TYPE: Global Case Report

PRESENTED ON: Tuesday, October 29, 2013 at 01:30 PM - 02:30 PM

INTRODUCTION: Hypersensitivity pneumonitis (HP) is caused by inhaled antigens which cause lymphocytic inflammation in the peripheral airways and surrounding interstitial tissue of lung. HP is most often due to an occupational exposure (1)

CASE PRESENTATION: We report a case of hypersensitivity pneumonitis in a 30-yr-old male food engineer caused by cultivated mushrooms found in his working environment. His examination revealed bilateral basillar crepitations, in thorax CT bilateral diffüse centroacinar ground glass opacities found. The patient was diagnosed according to history, chest radiograph, high-resolution chest CT. According to clinical suspicion patient treated with antibiotics combined with corticosteroids. After one week of therapy we perform low dose thorax CT to some paranchimal regions. All regions were totally normal after therapy.

DISCUSSION: There were several reports concerning hypersensitivity pneumonitis among mushroom workers. The diagnosis of HP involves documenting symptomes related to the antigen exposure, clinical, radiologic and patological findings compatible with HP(2). After clinical suspicion and therapy, low dose CT imaging technique can help to prove the diagnose

CONCLUSIONS: Detailed investigation of history and occupational information is crucial to diagnose HP. Low dose thorax CT to some regions can show the results of therapy in diffuse disseases.

Reference #1: Erkinjuntti-Pekkanen R, Rytkonen H, Kokkarinen JI, Tukiainen HO, Partanen K, Terho EO. Long-term risk of emphysema in patients with farmer’s lung and matched control farmers. Am J Respir Crit Care Med 1998; 158: 662-5.

Reference #2: Hypersensitivity pneumonitis due to mushroom spores. Tsugio Nagazawa MD.,Takao Tochigi MD. Chest 1989;95:1149-51

DISCLOSURE: The following authors have nothing to disclose: Bora Kalaycioglu, Can Bicakoglu

No Product/Research Disclosure Information


Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543