Maladie des laveurs de fromages. Une forme toujours actuelle d'alvéolite allergique extrinsèque en milieu rural [Cheese-washer's disease. A current stable form of extrinsic allergic alveolitis in a rural setting].

Détails

ID Serval
serval:BIB_FD5005662131
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Maladie des laveurs de fromages. Une forme toujours actuelle d'alvéolite allergique extrinsèque en milieu rural [Cheese-washer's disease. A current stable form of extrinsic allergic alveolitis in a rural setting].
Périodique
Revue des Maladies Respiratoires
Auteur(s)
Galland C., Reynaud C., De Haller R., Polla B.S., Leuenberger P.
ISSN
0761-8425 (Print)
ISSN-L
0761-8425
Statut éditorial
Publié
Date de publication
1991
Volume
8
Numéro
4
Pages
381-386
Langue
français
Notes
Publication types: Case Reports ; English Abstract ; Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
Inhalation of organic particles (bacteria, fungi or animal proteins) by sensitized subjects is known to induce extrinsic allergic alveolitis (EAA). The most frequent type of EAA and the best known in rural environment is farmer's lung disease. Nevertheless a rarer form is also to be considered in rural environment: cheesewasher's disease. Here we report 4 cases of cheesewasher's disease, who all presented with relevant aspects of the disease: diversity of antigens involved, prophylaxis problems, severity of the disease, rapidity of onset, reversibility and importance of history in the diagnosis. Penicillium casei usually is the responsible antigen, and precipitating antibodies against these moulds, but against other moulds such as Aspergillus, Circinomucor circilloïdes, Fusarium as well, can be detected in the patient's serum. Thus, in a rural environment, a respiratory symptomatology suggestive of EAA should lead to thorough search for antigens and cheesewasher's disease should be considered. Among the many other diagnostic tests, precipitin determinations are cheap and non invasive and can be very useful in the diagnostic approach.
Mots-clé
Adult, Alveolitis, Extrinsic Allergic/microbiology, Alveolitis, Extrinsic Allergic/physiopathology, Cheese, Food Handling, Humans, Italy, Male, Middle Aged, Occupational Diseases/microbiology, Occupational Diseases/physiopathology, Penicillium/isolation & purification, Rural Health, Switzerland
Pubmed
Web of science
Création de la notice
25/01/2008 9:50
Dernière modification de la notice
20/08/2019 16:28
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