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Loeffler's Syndrome Induced by Ingestion of Urushiol Chicken.

Jeong SO, Oh JH, Kwak YM, Lee J, Jang AS, Kim DJ, Park CS - Tuberc Respir Dis (Seoul) (2015)

Bottom Line: Contact dermatitis (both local and systemic) represents the most-common side effect of urushiol chicken ingestion.The patient had ingested urushiol chicken on two occasions within the 2 weeks immediately prior to disease onset.His symptoms and migrating lung lesions were resolved following administration of oral corticosteroids.

View Article: PubMed Central - PubMed

Affiliation: Division of Respiratory-allergy, Department of Internal Medicine, Soonchunhayng University Bucheon Hospital, Soonchunhynag University College of Medicine, Bucheon, Korea.

ABSTRACT
Eosinophilic lung diseases are heterogeneous disorders characterized by varying degrees of pulmonary parenchyma or blood eosinophilia. Causes of eosinophilic lung diseases range from drug ingestion to parasitic or fungal infection as well as idiopathic. The exact pathogenesis of eosinophilic lung disease remains unknown. Urushiol chicken can frequently cause allergic reactions. Contact dermatitis (both local and systemic) represents the most-common side effect of urushiol chicken ingestion. However, there has been no previous report of lung involvement following urushiol chicken ingestion until now. A 66-year-old male was admitted to our hospital with exertional dyspnea. Serial chest X-ray revealed multiple migrating infiltrations in both lung fields, with eosinophilic infiltration revealed by lung biopsy. The patient had ingested urushiol chicken on two occasions within the 2 weeks immediately prior to disease onset. His symptoms and migrating lung lesions were resolved following administration of oral corticosteroids.

No MeSH data available.


Related in: MedlinePlus

High-resolution computed tomography revealing multifocal consolidation and ground glass appearance in both upper- and lower-lung fields.
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Figure 2: High-resolution computed tomography revealing multifocal consolidation and ground glass appearance in both upper- and lower-lung fields.

Mentions: In plain chest X-ray images obtained on the day of admission, lung infiltration was observed in the left-upper lobe. Infiltration disappeared after 5 days, but re-emerged in the right-upper lobe. After 11 days right-upper lobe infiltration improved, but left-upper lobe infiltration increased in extent (Figure 1). In high-definition chest computed tomography images, right and left-upper and lower lobes were observed with multiple lung infiltration and glass opacity (Figure 2). In bronchoscopic images, also obtained on day 11, bleeding in the peribronchial area of the left-upper lobe and increased sputum production were observed. Accordingly, a bronchoalveolar lavage fluid test was conducted, confirming a significant increase in eosinocytes. Following percutaneous transthoracic needle biopsy of the left-upper lobe lesion, eosinocyte infiltration was confirmed (Figure 3).


Loeffler's Syndrome Induced by Ingestion of Urushiol Chicken.

Jeong SO, Oh JH, Kwak YM, Lee J, Jang AS, Kim DJ, Park CS - Tuberc Respir Dis (Seoul) (2015)

High-resolution computed tomography revealing multifocal consolidation and ground glass appearance in both upper- and lower-lung fields.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4499595&req=5

Figure 2: High-resolution computed tomography revealing multifocal consolidation and ground glass appearance in both upper- and lower-lung fields.
Mentions: In plain chest X-ray images obtained on the day of admission, lung infiltration was observed in the left-upper lobe. Infiltration disappeared after 5 days, but re-emerged in the right-upper lobe. After 11 days right-upper lobe infiltration improved, but left-upper lobe infiltration increased in extent (Figure 1). In high-definition chest computed tomography images, right and left-upper and lower lobes were observed with multiple lung infiltration and glass opacity (Figure 2). In bronchoscopic images, also obtained on day 11, bleeding in the peribronchial area of the left-upper lobe and increased sputum production were observed. Accordingly, a bronchoalveolar lavage fluid test was conducted, confirming a significant increase in eosinocytes. Following percutaneous transthoracic needle biopsy of the left-upper lobe lesion, eosinocyte infiltration was confirmed (Figure 3).

Bottom Line: Contact dermatitis (both local and systemic) represents the most-common side effect of urushiol chicken ingestion.The patient had ingested urushiol chicken on two occasions within the 2 weeks immediately prior to disease onset.His symptoms and migrating lung lesions were resolved following administration of oral corticosteroids.

View Article: PubMed Central - PubMed

Affiliation: Division of Respiratory-allergy, Department of Internal Medicine, Soonchunhayng University Bucheon Hospital, Soonchunhynag University College of Medicine, Bucheon, Korea.

ABSTRACT
Eosinophilic lung diseases are heterogeneous disorders characterized by varying degrees of pulmonary parenchyma or blood eosinophilia. Causes of eosinophilic lung diseases range from drug ingestion to parasitic or fungal infection as well as idiopathic. The exact pathogenesis of eosinophilic lung disease remains unknown. Urushiol chicken can frequently cause allergic reactions. Contact dermatitis (both local and systemic) represents the most-common side effect of urushiol chicken ingestion. However, there has been no previous report of lung involvement following urushiol chicken ingestion until now. A 66-year-old male was admitted to our hospital with exertional dyspnea. Serial chest X-ray revealed multiple migrating infiltrations in both lung fields, with eosinophilic infiltration revealed by lung biopsy. The patient had ingested urushiol chicken on two occasions within the 2 weeks immediately prior to disease onset. His symptoms and migrating lung lesions were resolved following administration of oral corticosteroids.

No MeSH data available.


Related in: MedlinePlus