Bird fancier lung
Citation, DOI, disclosures and article data
At the time the article was created Yuranga Weerakkody had no recorded disclosures.View Yuranga Weerakkody's current disclosures
At the time the article was last revised Ian Bickle had no recorded disclosures.View Ian Bickle's current disclosures
Bird fancier lung refers to a type of hypersensitivity pneumonitis occurring as a response to avian antigens (usually inhaled proteins in the dust of bird feathers and droppings).
For a broad discussion on this entity, please refer to the main article on hypersensitivity pneumonitis.
HRCT chest features can differ depending on whether it is acute, subacute or chronic presentation, but, in general, can be similar to other forms of hypersensitivity pneumonitis.
Described CT features include 6:
- diffuse centrilobular nodules
- ground glass: diffuse or patchy predominant in upper lobes
- fibrosis with or without traction bronchiectasis
- mediastinal lymphadenopathy
Treatment and prognosis
Cessation of avian exposure is a key part of management. Most cases have a good prognosis following cessation.
- 1. Remy-Jardin M, Remy J, Wallaert B et-al. Subacute and chronic bird breeder hypersensitivity pneumonitis: sequential evaluation with CT and correlation with lung function tests and bronchoalveolar lavage. Radiology. 1993;189 (1): 111-8. Radiology (abstract) - Pubmed citation
- 2. Morais A, Winck JC, Delgado L et-al. Suberosis and bird fancier's disease: a comparative study of radiological, functional and bronchoalveolar lavage profiles. J Investig Allergol Clin Immunol. 2004;14 (1): 26-33. Pubmed citation
- 3. Chan AL, Juarez MM, Leslie KO et-al. Bird fancier's lung: a state-of-the-art review. Clin Rev Allergy Immunol. 2012;43 (1-2): 69-83. doi:10.1007/s12016-011-8282-y - Pubmed citation
- 4. Morell F, Roger A, Reyes L et-al. Bird fancier's lung: a series of 86 patients. Medicine (Baltimore). 2008;87 (2): 110-30. doi:10.1097/MD.0b013e31816d1dda - Pubmed citation
- 5. Bourke S, Boyd G. Pigeon fancier's lung. BMJ. 1997;315 (7100): 70-1. doi:10.1136/bmj.315.7100.70 - Free text at pubmed - Pubmed citation
- 6. Kumar R, Singh M. Bird fancier's lung: clinical-radiological presentation in 15 cases. (2015) Pneumonologia i alergologia polska. 83 (1): 39-44. doi:10.5603/PiAP.2015.0005 - Pubmed