Hypersensitivity pneumonitis causes

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

Causes

  • HP can be caused by exposure to organic antigens that can occur in different occupations.
  • Hundreds of etiological causes can lead to HP.
  • Etiology can be divided among various occupations:

Farmers[1]

  • Farmers lung is the most common form of HP.
  • It can further be divided based on the type of farming and antigen exposure.
    • Tobacco farmer: Most common antigen are aspergillus and scopulariopsis brevicaulis.
    • Paprika pods farmer: Most common antigen mucor stolonifer.
    • Wine makers: Most common antigen botrytis cincrea.
    • Mushroom cultivaters: Most common antigens are mushroom spores and thermophilic actinomycetes.
    • Potato farming: Most common antigens are thermophilic actinomycetes, T. vulgaris and F. rectivirgula.

Poultry/bird handling[2]

  • Excreta of birds and cattle may induce HP.
  • Proteinaceous material on droppings, feathers and serum proteins is dispersed through dust.
  • It can further be divided based on the type of antigen exposure:
    • Poultry workers: Serum proteins from chicken products lead to feather plucker's disease.
    • Turkey handlers: Most common antigens are serum proteins from turkey products.
    • Duck handlers: Most common antigens are serum proteins from duck feathers products.

References

  1. Malmberg P, Rask-Andersen A, Rosenhall L (1993). "Exposure to microorganisms associated with allergic alveolitis and febrile reactions to mold dust in farmers". Chest. 103 (4): 1202–9. PMID 8131466.
  2. Chan AL, Juarez MM, Leslie KO, Ismail HA, Albertson TE (2012). "Bird fancier's lung: a state-of-the-art review". Clin Rev Allergy Immunol. 43 (1–2): 69–83. doi:10.1007/s12016-011-8282-y. PMID 21870048.

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