Çocuk Sağlığı ve Hastalıkları Dergisi 2005 , Vol 48 , Num 4
Pigeon breeder's disease in a child treated with inhaled steroid
Nazire Naçar1, Nural Kiper2, Deniz Doğru3, Uğur Özçelik2, Alev Özön3, Nazan Çobanoğlu4
1Güven Hastanesi, Pediatrik Kardiyoloji Uzmanı
2Hacettepe Üniversitesi Tıp Fakültesi, Pediatri Profesörü
3 Hacettepe Üniversitesi Tıp Fakültesi, Pediatri Doçenti
4Bayındır Hastanesi, Pediatri Uzmanı
Naçar N, Kiper N, Doğru D, Özçelik U, Özön A, Çobanoğlu N. (Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey). Pigeon breeder's disease in a child treated with inhaled steroid. Çocuk Sağlığı ve Hastalıkları Dergisi 2005; 48: 330-333.

Hypersensitivity pneumonitis (HP) is a group of immunologically mediated diffuse inflammatory lung parenchymal diseases. Pigeon breeder’s disease (PBD) is the most frequent clinical form and is rarely encountered in children. The best diagnostic tool is historic correlation of the symptoms with exposure to antigen and demonstration of the characteristic precipitin reactions in the serum. The most effective treatment is avoidance of the antigens. Steroids may be used for treatment of HP either systemically or topically (inhalational). Here we report a child with PBD treated with inhalational steroid. Our case is the first child with PBD in the literature in which inhalational steroid was used as an initial treatment. With this report we remind physicions that the disease should be considered in any child with recurrent or unexplained respiratory symptoms and also emphasize that nebulizing steroids may be useful as an initial treatment of PBD and all other HPs. Anahtar Kelimeler : güvercin besleyenlerin pnömonisi, çocuk, inhale steroid, Pigeon breeder’s disease, child, inhaled steroid

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