PEDIATRICS Vol. 85 No. 5 May 1990, pp. 848-852
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Diagnosing Bird Fancier's Disease in Children

WILLIAM F. H. YEE MD1, ROBERT G. CASTILE MD1, AMIEL COOPER MD2, MARY ROBERTS RN3, and ROY PATTERSON MD3

1 Dept of Pediatrics, Tufts University School of Medicine, Division of Pediatric Pulmonology and Allergy, Floating Hospital for Infants and Children, Boston, MA
2 Dept of Pathology, Tufts University School of Medicine, Faulkner Hospital, Boston, MA
3 Dept of Medicine, Northwestern University Medical School, McGaw Medical Center, Chicago, IL

Bird fancier's disease is a form of hypersensitivity pneumonitis resulting from inhalation of various avian proteins. It is rarely diagnosed in childhood but should be considered in any child with persistent unexplained respiratory symptoms.1,2 We describe two patients referred to our pulmonary clinic with nonspecific respiratory complaints, in whom the diagnosis of avian protein-related hypersensitivity pneumonitis was initially not confirmed by serologic studies.

CASE REPORTS

Patient 1

An 11-year-old boy was admitted to the hospital with a 1-year history of a mild nonproductive cough, poor appetite, weight loss, malaise, and an intermittent low-grade fever. According to an environmental history, the boy's father had been breeding pigeons, canaries, and parakeets in the family yard for years.

Submitted on May 15, 1989
Accepted on June 29, 1989




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