Pulmon de granjero. Estudio piloto en un pueblo de Guipuzcoa

Marco Jordán, L.; Labayen Berdonces, J.; Laparra Galíndez, J.; Esteban Gómez, F.

doi:10.1016/S0300-2896(15)31743-9

Archivos de Bronconeumología

ISSN: 0300-2896

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Vol. 25. Issue 3.

Pages 101-105 (April 1989)

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Pages 101-105 (April 1989)

DOI: 10.1016/S0300-2896(15)31743-9

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Pulmon de granjero. Estudio piloto en un pueblo de Guipuzcoa

Farmer's lung. A pilot study in a Guipuzcoa village

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L. Marco Jordán, J. Labayen Berdonces, J. Laparra Galíndez, F. Esteban Gómez

Servicio de Neumología. Hospital de Amara

V. Tapiz Ibáñez**, A. García Carro**, P. Echániz Aizpuru*

* Servicio de Inmunología. Hospital N.a Sra. de Aranzazu. San Sebastián

** Médico de familia

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Abstract

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Con el fin de acercarse al conocimiento de la prevalen-cia del pulmón de granjero (PG), se estudian 82 granjeros de un pueblo de Guipúzcoa. A todos se les realiza: 1) encuesta; 2) estudio de precipitinas (P) con extracto de heno (H), Micropolyspora faeni (MF), Termoactinomyces vulgaris (TV), Aspergillus fumigatus (AF), Penicillium frequentans (PF) y Aureobasidium pullulans (AP) y 3) test cutáneos (TC) con H y MF. También se practicó Rx de tórax y espirometría a aquellos con historia sugerente de PG o P positivas.

Se detectó un sólo caso de PG junto a un 24,6% de sujetos seropositivos. A pesar de que las P frente a MF fueron las más halladas, fue importante el número de P frente a AF (sobre todo) y TV. Con frecuencia se constató la presencia de más de una P entre seropositivos (media 2,5) así como de P frente a antígenos micóticos no causantes de PG (PF y AP). Fue estadísticamente significativa la relación P - sexo. Hubo una mala correlación entre clínica y tanto P como TC. Los TC y las P se comportaron como test independientes.

To assess the prevalence of farmer's lung (FL), 82 farmers from a Guipuzcoa village were evaluated. The following studies were performed in all: 1) Questionnaire; 2) Precipitin (P) study with hay extract (H), Mycropolyspora faeni (MF), Termoactinomyces vulgaris (TV), Aspergillus fumigatus (AF), Penicillium frequentans (PF), and Aureobasidium pullulans, and 3) Skin testing (ST) with H and MF. In addition, chest X-ray and spirometric study were carried out in those with history suggesting FL or positive P.

Only one patient with FL was detected, and 24,6% of individuals were seropositive. Although Ps against MF were the most commonly found, there was a significant number of positive Ps for TV and particularly for AF. Frequently, more than one P was found among seropositives (mean 2,5), and also Ps against mycotic agents not related to FL (PF and AP). The relationship P-sex was statistically significant. There was a poor correlation between clinical findings and both P and ST. ST and P behaved like independent tests.

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