In modern life, many people choose to keep birds as pets or as a leisure hobby. However, this interest may expose them to a potential health crisis: avian protein allergy, known as aviculturist's lung (BFL). This is a type of hypersensitivity pneumonia caused by an immune response to avian allergens and has the potential to cause severe damage to the respiratory system.
The most common symptoms of avian protein allergy include shortness of breath, dry cough and chest pain, which may be exacerbated by exposure to triggers.
The pathogenesis of BFL is mainly due to long-term exposure to avian proteins in dry dust such as bird excrement or feathers. These allergens can come from a variety of birds, including pigeons, parrots, chickens, etc., and can trigger the production of immune complexes, causing an immediate inflammatory response in the lungs. It often takes many years of continued exposure for symptoms to appear.
Diagnosing BFL relies on a series of tests, such as imaging and bronchoscopy, in addition to symptoms a patient develops after exposure to poultry protein. Results from an X-ray or CT scan often show structural changes in the lungs, such as a "ground glass" appearance. Bronchoscopy may reveal significant lymphocyte proliferation and chronic inflammation.
"Symptoms typically appear within 4 to 8 hours of exposure to avian allergens, making diagnosis more challenging."
Symptoms of early BFL include shortness of breath, dry cough, and chest discomfort, which may be worsened by strenuous exercise or exposure to cold air. As the condition progresses, patients may experience loss of appetite and extreme fatigue. If pulmonary fibrosis worsens, patients may even face difficulty breathing.
The most effective treatment for BFL is to remove the avian protein that triggers the allergic reaction. Your doctor may recommend removing all birds and items containing feathers from your home. In addition, steroid drugs such as prednisone can reduce inflammation, but the long-term effects of these drugs are often not as effective as avoiding the allergen.
“Patients’ symptoms often improve significantly when exposure to allergens is avoided.”
Many people with BFL can recover if the allergen is removed promptly. However, if not treated properly in the early stage, it may lead to irreversible pulmonary fibrosis, further increasing the risk of respiratory failure. It makes people think, how should bird lovers balance their hobby with potential health risks?