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Hypersensitivity pneumonitis recognised by open lung biopsy in patients of Institute of Tuberculosis and Lung Diseases
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Abstract
The aim of this paper was to analyse whether OLB was necessary in all patients in whom HP was recognised just after this procedure.
Material included 21 patients in whom microscopic examination suggested HP among 258 pts in whom OLB was performed in the period of 1998-2003 . There were 13 men and 8 women at the age of 18 to 65 years, mediana 42 years.
Results: We found 3 groups of pts. Group "+" included 9 exposed pts. They were asked and confirmed contact with birds, hay and 7 of them observed correlation between exposition and symptoms. The second Group "-" included 7 pts who were asked about exposition and who answered in the negative. In all of them HRCT scans suggested HP. Restriction was below 70% of VC in 3 pts. The third Group "0" included 5 pts who were not asked about exposition and correlation with symptoms. Two from them lived in the rural area.
Conclusions: Open lung biopsy was not necessary for 6 patients in Group "+", because then had enought symptoms to recognise HP. In 3 patients of Group "+" and in 5 of Group "0" OLB could be not necessary because specificanamnesis and additional examinations were not collected. OLB was necessary method for 7 patients in Group "-".
Abstract
The aim of this paper was to analyse whether OLB was necessary in all patients in whom HP was recognised just after this procedure.
Material included 21 patients in whom microscopic examination suggested HP among 258 pts in whom OLB was performed in the period of 1998-2003 . There were 13 men and 8 women at the age of 18 to 65 years, mediana 42 years.
Results: We found 3 groups of pts. Group "+" included 9 exposed pts. They were asked and confirmed contact with birds, hay and 7 of them observed correlation between exposition and symptoms. The second Group "-" included 7 pts who were asked about exposition and who answered in the negative. In all of them HRCT scans suggested HP. Restriction was below 70% of VC in 3 pts. The third Group "0" included 5 pts who were not asked about exposition and correlation with symptoms. Two from them lived in the rural area.
Conclusions: Open lung biopsy was not necessary for 6 patients in Group "+", because then had enought symptoms to recognise HP. In 3 patients of Group "+" and in 5 of Group "0" OLB could be not necessary because specificanamnesis and additional examinations were not collected. OLB was necessary method for 7 patients in Group "-".
Keywords
HP; open lung biopsy


Title
Hypersensitivity pneumonitis recognised by open lung biopsy in patients of Institute of Tuberculosis and Lung Diseases
Journal
Advances in Respiratory Medicine
Issue
Article type
Research paper
Pages
78-84
Published online
2008-02-18
Bibliographic record
Pneumonol Alergol Pol 2004;72(3-4):78-84.
Keywords
HP
open lung biopsy
Authors
Jacek Grudny
Elżbieta Wiatr
Renata Langfart
Piotr Rudziński
Tadeusz Orłowski
Iwona Bestry
Stefan Wesołowski
Kazimierz Roszkowski-Śliź