Mahmut DOĞRU, Tayfur GİNİŞ, Emine MISIRLIOĞLU DİBEK, Handan DUMAN, İlknur BOSTANCI, Serap ÖZMEN

Çocuklarda kuş besleyicisi hastalığı: Tek merkez deneyimi

Kuş besleyicisi hastalığı kuşların organik antijenlerinden kaynaklanan, immün aracılıklı bir akciğer hastalığıdır. Çocukluk çağında nadir görülen bir aşırı duyarlılık pnömonisidir. Burada tekrarlayan solunum sistemi yakınmaları ile başvuran ve kuş besleyicisi hastalığı tanısı konulan dört çocuk olgu sunulmuştur. Bilgimize göre, ilk olgumuz İngilizce literatürdeki en küçük olgudur. Kuş besleyicisi hastalığı kronik solunum sistemi yakınmaları ile başvuran çocuklarda akla gelmeli ve kuş besleme öyküsü ısrarla sorgulanmalıdır.

Bird fancier s lung disease: A single center experience

Bird fancier s lung disease is an immune-mediated lung disease caused by organic antigens of birds. It is a rare hypersensitivity pneumonitis in children. Here, we presented four children diagnosed with Bird fancier s lung disease that admitted complaints of recurrent respiratory system. To the best of our knowledge, the first case is the youngest patient in English language literature. Bird fancier s lung disease should be considered presenting with symtoms of chronic respiratory disease in children and persistently questioned history of bird feeding.

PDF

___

1.Patel AM, Ryu JH, Reed CE. Hypersensitivity pneumonitis: current concepts and future questions. J Allergy Clin Immunol 2001; 108: 661-70.
2.Rose C, Lara AR. Hypersensitivity pneumonitis. In: Mason R, Broaddus VC, Martin TR, (eds). Murray and Nadels texbook of respiratory medicine. Philadelphia: Elsevier Saunders, 2010: 1587-600.
3.Fink JN, Ortega HG, Reynolds HY, et al. Needs and opportunities for research in hypersensitivity pneumonitis. Am J Respir Crit Care Med 2005; 171: 792-8.
4.Hanak V, Golbin JM, Ryu JH. Causes and presenting features in 85 consecutive patients with hypersensitivity pneumonitis. Mayo Clin Proc 2007; 82: 812-6.
5.Morell F Roger A, Reyes L, Cruz MJ, Murio C, Muñoz X. Bird fanciers lung: a series of 86 patients. Medicine (Baltimore) 2008; 87: 110-30.
6.Cımrın AH, Göksel O, Demirel YS. General aspects of hypersensitivity pneumonitis in Turkey. Tuberk Toraks 2010; 58: 242-51.
7.Mohr LC. Hypersensitivity pneumonitis. Curr Opin Pulm Med 2004; 10: 401-11.
8.Demedts M, Wells AU, Anto JM, et al. Interstitial lung diseases: an epidemiological overview. Eur Respir J 2001; 18 (Suppl 32): 2-16.
9.Dilber E, Özçelik U, Göçmen A, Misirligil Z, Kiper N. Recurrent pneumonitis in a 10-year-old girl with pigeon breeders disease. Turk J Pediatr 1997; 39: 541-5.
10.Yalçın E, KIper N, Göçmen A, Ozçelik U, Doğru D, Misirligil Z. Pigeon-breeders disease in a child with selective IgA deficiency. Pediatr Int 2003; 45: 216-8.
11.Ceviz N, Kaynar H, Olgun H, Onbaş O, Misirligil Z. Pigeon breeders lung in childhood: is family screening necessary? Pediatr Pulmonol 2006; 41: 279-82.
12.Nacar N, Kiper N, Yalcin E, et al. Hypersensitivity pneumonitis in children: pigeon breeders disease. Ann Trop Paediatr 2004; 24: 349-55.
13.Richerson HB, Bernstein IL, Fink JN, et al. Guidelines for the clinical evaluation of hypersensitivity pneumonitis. Report of the Subcommittee on Hypersensitivity Pneumonitis. J Allergy Clin Immunol 1989; 84: 839-44.
14.Stauffer Ettlin M, Pache JC, Renevey F Hanquinet-Ginter S, Guinand S, Barazzone Argiroffo C. Bird Bird breeders disease: a rare diagnosis in young children. Eur J Pediatr 2006; 165: 55-61.
15.Fink JN. Epidemiologic aspects of hypersensitivity pneumonitis. Monogr Allergy 1987; 21: 59-69.
16.Morell F Roger A, Cruz MJ. Usefulness of specific skin tests in the diagnosis of hypersensitivity pneumonitis. J Allergy Clin Immunol 2002; 110: 939.
17.Hodgson MJ, Parkinson DK, Karpf M. Chest X-rays in hypersensitivity pneumonitis: a metaanalysis of secular trend. Am J Ind Med 1989; 16: 45-53.
18.Nasser-Sharif FJ, Balter MS. Hypersensitivity pneumonitis with normal high resolution computed tomography scans. Can Respir J 2001; 8: 98-101.
19.Franquet T, Hansell DM, Senbanjo T, Remy-Jardin M, Müller NL. Lung cysts in subacute hypersensitivity pneumonitis. J Comput Assist Tomogr 2003; 27: 475-8.
20.Hasani A, Johnson M, Pavia D, Agnew J, Clarke S. Impairment of lung mucociliary clearance in pigeon fanciers. Chest 1992; 102: 887-91.
21.Cormier Y, Lacasse Y. Keys to the diagnosis of hypersensitivity pneumonitis: the role of serum precipitins, lung biopsy, and high- resolution computed tomography. Clin Pulm Med 1996; 3: 72-7.
22.Schuyler M, Cormier Y. The diagnosis of hypersensitivity pneumonitis. Chest 1997; 111: 534-6.
23.Sahin H, Brown KK, Curran-Everett D, et al. Chronic hypersensitivity pneumonitis: CT features comparison with pathologic evidence of fibrosis and survival. Radiology 2007; 244: 591-8.
24.Cormier Y. Hypersensitivity pneumonitis: restrictive diagnostic criteria or a different disease? Ann Allergy Asthma Immunol 2005; 95: 99.