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Hypersensitivity Pneumonitis Caused by Exposure to a Gray Parrot (Psittacus erithacus)
Authors:Takanori Enomoto  Reina Sekiya  Hiroshi Sugimoto  Tomomi Terashita  Junya Yoshioka  Tatsuya Nagano  Yoshihiro Nishimura  Erika Yano  Tatsuya Moriyama  Kyosuke Nakata
Affiliation:1.Division of Respiratory Medicine, Konan Medical Center, Japan; 2.Division of Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan; 3.Department of Applied Biological Chemistry, Graduate School of Agriculture, Kindai University, Japan
Abstract:A 73-year-old woman complaining of cough and dyspnea was admitted to our hospital. High-resolution computed tomography chest revealed patchy ground-glass attenuation in the upper lung field. The patient suffered an asthma attack and was diagnosed with allergic pneumonitis; prednisolone was administered for treatment. Bird-related hypersensitivity pneumonitis was suspected, as she had a gray parrot (Psittacus erithacus) and a budgerigar (Melopsittacus undulatus) at home. An immunoblotting analysis with the patient''s serum demonstrated IgG-binding fractions to the gray parrot''s feathers only; no binding was noted with the budgerigar antigens. The patient was conclusively diagnosed with hypersensitivity pneumonitis related to exposure to a gray parrot.
Keywords:hypersensitivity pneumonitis   gray parrot   immunoblotting
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