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

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Estudio piloto en un pueblo de Guipuzcoa" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "101" "paginaFinal" => "105" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "L. Marco Jordán, J. Labayen Berdonces, J. Laparra Galíndez, F. Esteban Gómez" "autores" => array:4 [ 0 => array:2 [ "nombre" => "L." "apellidos" => "Marco Jordán" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Labayen Berdonces" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Laparra Galíndez" ] 3 => array:2 [ "nombre" => "F." "apellidos" => "Esteban Gómez" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Neumología. Hospital de Amara" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "autoresLista" => "V. Tapiz Ibáñez, A. García Carro, P. Echániz Aizpuru" "autores" => array:3 [ 0 => array:3 [ "nombre" => "V." "apellidos" => "Tapiz Ibáñez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "**" "identificador" => "aff0015" ] ] ] 1 => array:3 [ "nombre" => "A." "apellidos" => "García Carro" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "**" "identificador" => "aff0015" ] ] ] 2 => array:3 [ "nombre" => "P." "apellidos" => "Echániz Aizpuru" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Inmunología. Hospital N.a Sra. de Aranzazu. San Sebastián" "etiqueta" => "*" "identificador" => "aff0010" ] 1 => array:3 [ "entidad" => "Médico de familia" "etiqueta" => "**" "identificador" => "aff0015" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Farmer's lung. A pilot study in a Guipuzcoa village" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1988-09-21" "fechaAceptado" => "1988-11-23" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "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." ] "en" => array:1 [ "resumen" => "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." ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:25 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Alveolitis alérgicas extrínsecas" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "F. 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Mair" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Br Med J" "fecha" => "1972" "volumen" => "1" "paginaInicial" => "530" "paginaFinal" => "534" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/630209" "web" => "Medline" ] ] ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib0105" "etiqueta" => "21." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hypersensitivity diseases of the lungs due to fungi and organic dusts. Monographs in allergy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J. Pepys" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "1969" "editorial" => "Ed S Karger" "editorialLocalizacion" => "Basel" ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib0110" "etiqueta" => "22." 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Kurup" 1 => "R.A. Mantyjarvi" 2 => "E.O. Therho" 3 => "T.H. Ojanen" 4 => "J.H. Kalbfleisch" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Mycopathologia" "fecha" => "1987" "volumen" => "98" "paginaInicial" => "91" "paginaFinal" => "99" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3299100" "web" => "Medline" ] ] ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bib0120" "etiqueta" => "24." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Airbone molds and actinomycetes in the work environment of farmer's lung patients in Finland" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M. Kotimaa" 1 => "K. Husman" 2 => "E. Terho" 3 => "M. 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Archivos de Bronconeumología

ISSN: 0300-2896

Archivos de Bronconeumologia is an international journal that publishes original studies whose content is based upon results of research initiatives dealing with several aspects of respiratory medicine including epidemiology, respiratory physiology, pathophysiology of respiratory diseases, clinical management, thoracic surgery, pediatric lung diseases, respiratory critical care, respiratory allergy and basic research. Other types of articles such as editorials, reviews, and different types of letters are also published in the journal. Additionally, the journal expresses the voice of the following scientific societies: the Spanish Respiratory Society of Pneumology and Thoracic Surgery (SEPAR; https://www.separ.es/), the Latin American Thoracic Society (ALAT; https://alatorax.org/), and the Iberian American Association of Thoracic Surgery (AIACT; http://www.aiatorax.com/).

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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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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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