What is pigeon handler's disease?

Bird Handler’s Disease, also known as Bird Fancier’s Lung (BFL), is a type of hypersensitivity pneumonitis. It is an immunologically mediated lung disease that occurs due to repetitive exposure to airborne avian antigens. This condition was first described in 1965 and is recognized as one of the most common causes of hypersensitivity pneumonitis.

Causes and Symptoms

BFL is triggered by exposure to highly antigenic avian proteins found in bird droppings and waxy proteins on feathers. People who handle birds, such as pigeons, doves, and parakeets, are at a higher risk of developing this condition. The disease occurs when a susceptible individual has a hypersensitivity reaction to these avian antigens.

The symptoms of BFL include cough, dyspnea (shortness of breath), fever, general fatigue, rhinitis, and conjunctivitis. Physical examination may reveal tachypnea (rapid breathing), tachycardia (rapid heart rate), and bibasilar crackles in the lungs. In severe cases, hypoxemic respiratory failure may occur.

Diagnosis and Treatment

Diagnosing BFL can be challenging, as the symptoms are non-specific and there are no specific lab markers for the condition. However, a thorough history of bird exposure is crucial in identifying the potential cause. Laboratory testing can be done to confirm the presence of specific avian antigens in the patient’s blood.

Imaging studies like high-resolution computed tomography (HRCT) can show characteristic patterns in the lungs, such as diffuse mosaic attenuation and interstitial thickening. Pulmonary function tests may indicate restrictive lung disease. If the diagnosis is still unclear, bronchoalveolar lavage (BAL) or surgical biopsies can be performed.

The most effective treatment for BFL is avoiding further exposure to avian antigens. Removing birds from the home or workplace is essential to prevent disease progression. In cases where the condition continues to worsen despite antigen avoidance, systemic corticosteroids may be prescribed to reduce inflammation and manage symptoms. Acute or subacute forms of BFL can often resolve with treatment, but chronic cases may progress to pulmonary fibrosis, which may require lung transplantation.

Prevention and Management

Preventing BFL involves taking precautions to minimize exposure to bird droppings and feathers. This is especially important for individuals who handle birds regularly. Proper hygiene practices, such as washing hands thoroughly after handling birds, can also help reduce the risk of developing the disease.

If you suspect that you or someone you know may have BFL or require professional bird poop cleaning services, please contact Bird Poop Cleaning at hello@khunclean.com or call 082-797-3702. Our experienced team can sanitize, disinfect, remove, and clean bird poop, bird droppings, eggs, birds, chicks, and nests from balconies, homes, storage areas, and factories in Bangkok.

Remember, early recognition of BFL and proper management are crucial for preventing long-term complications. Don’t hesitate to reach out to us for expert assistance in dealing with bird-related hygiene issues.

Note: This informative post is for educational purposes only and does not replace professional medical advice. If you suspect you have Bird Handler’s Disease or any other health condition, please consult a healthcare professional.