Occupational Asthma Reference
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Choy AC, Patterson R, Ray AH, Roberts M,
Hypersensitivity pneumonitis in a raptor handler and a wild bird fancier,
Ann Allergy Asthma Immunol,
1995;74:437-441,
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Keywords: bird, hospital, USA, diagnosis, incidence, pigeon, breeder, new, owl, case report, alveolitis, wildlife worker
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Abstract
BACKGROUND: Hypersensitivity pneumonitis has been associated with a variety of antigens in various settings. We have recently encountered one case of hypersensitivity pneumonitis from owl droppings and another case from a wild Moluccan cockatoo.
OBJECTIVE: It is important to alert physicians to the possibility of hypersensitivity pneumonitis when dealing with wildlife workers and wild bird fanciers.
METHOD: A report of two cases with progress and response to therapy.
RESULTS: Clinical and serologic information are of value in the diagnosis of hypersensitivity pneumonitis due to birds and avoidance is the optimal approach.
CONCLUSION: There are many raptor handlers and wild bird fanciers across the United States and the world. Given the incidence of hypersensitivity pneumonitis in pigeon breeders, this may herald a new variant of allergic disease among wildlife workers and wild bird fanciers
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