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Hypersensitivity Pneumonitis Updated 4/2011

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BASICS

  • Description
  • Epidemiology
  • Risk Factors
  • General Prevention
  • Pathophysiology
  • Etiology

DIAGNOSIS

  • Signs and Symptoms
  • Tests
  • Differential Diagnosis

TREATMENT

  • Medication (Drugs)
  • Additional Treatment
  • In-patient Considerations

Ongoing Care

  • Follow-Up Recommendations
  • Diet
  • Patient Education
  • Prognosis
  • Complications
The following is an excerpt....
BASICS
Description
  • A diffuse inflammatory disease of the lung caused by an exaggerated immune response to repeated inhalation of airborne environmental antigens.
  • A wide variety of antigens can cause disease.
  • Spectrum of symptoms with controversial classification, but typically divided into:
    • Acute:
      • Fever, chills, diaphoresis, myalgias, nausea; cough and dyspnea common but not necessary.
      • Occurs 2–9 hours after exposure
      • Lasts hours to days
    • Subacute:
      • More severe respiratory symptoms (cough, dyspnea, cyanosis)
      • Develops over days to weeks
    • Chronic:
      • Progressively worsening cough and exertional dyspnea. Also present with fatigue and weight loss.
      • Occurs over several months, can lead to respiratory failure
  • System(s) affected: Pulmonary
  • Synonym(s): Extrinsic allergic alveolitis; Farmer’s lung
Epidemiology
  • Predominant age: Tends to occur in adults as ...

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See Also
Images >
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Invasive aspergillosis. A section of lung impregnated with silver shows branching fungal hyphae surrounding blood vessels and invading the adjacent parenchyma.Credit: Image from Rubin E MD and Farber JL MD. Pathology, 3rd Edition. Philadelphia: Lippincott Williams & Wilkins, 1999.