Guest guest Posted September 25, 2002 Report Share Posted September 25, 2002 Couldn't these symptoms we have breathing be classified as the same as these? Kathy in Illinois FARMER'S LUNG (and variants) Victims are sensitive to spores from moldy hay, etc. (Micropolysporum, Thermoactinomyces -- these "molds" include allergenic bacteria). Both farmers and their animals are susceptible. {27489} farmers in moldy hay Non-farmers can get a similar disease from mold in air-conditioners ("humidifier fever", etc.), cardboard, etc. (See JAMA 258: 1210, 1987). Clinical course: Either or both of two phases First phase: transient IgE-mediated syndrome with bronchoconstriction (wheezing, etc.) Second phase: IgG-mediated type III-injury vasculitis ("extrinsic allergic alveolitis"; "hypersensitivity alveolitis") which may be serious. It can be acute, subacute, or chronic. In really bad cases, there may be granuloma formation, tissue necrosis, fibrosis (Am. Rev. Resp. Dis. 133: 88, 1986), etc. Precipitating IgG antibodies against the offending mold can be demonstrated in the patient's serum (and in the serum of many asymptomatic farmers, too; Thorax 44: 469, 1989). For a review of the diagnostic immunology of the organic pneumoconioses, see Clin. Lab. Med. 4: 523, 1984. Bagassosis: farmer's lung caused by molds in dry sugar cane. *Other forms of "extrinsic allergic alveolitis": "Animal house lung": fraternity party with straw (JAMA 258: 1219, 1987) Woodworker's pneumoconiosis (including "sequoiosis" from redwood mold) Mushroom worker's lung Cheese worker's disease Grain handler's pneumoconiosis (Can. Med. Assoc. J. 133: 969, 1985) Malt worker's pneumoconiosis Pigeon keeper's lung ("bird-fancier's lung"; *Interestingly, these patients are reported to have semi-anergy: Thorax 44: 132, 1989) Pituitary snuff taker's lung (diabetes insipidus victims) Portuguese cork-worker's lung (suberosis) Sisal-worker's disease Hungarian paprika-splitter's disease Tea-maker's asthma Coffee bean dust disease Furrier's lung Sudanese bat-guano asthma (Lancet 1: 316, 1987) Leather waterproofer's lung (Br. Med. J. 292: 727, 1986) Zimbabwe ivory-carver's lung (Thorax 43: 342, 1988); save the elephants Silkworm dropping lung (Thorax 45: 233, 1990) You can benefit many of these people by installing electrostatic dust filters (Ann. Int. Med. 110: 115, 1989). A face mask for hay-time: Chest 95: 100, 1989. Quote Link to comment Share on other sites More sharing options...
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