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A teacher with breathlessness of insidious onset developed acute symptoms on return home following his discharge from hospital. His flat was found to have extensive dry rot (Merulius lacrymans). Precipitins and specific IgE and IgG antibody against M. lacrymans were present and intracutaneous testing gave a typical dual skin reaction. Pulmonary physiology demonstrated airflow obstruction with a low DLCO and KCO, and a chest X-ray showed diffuse micronodular shadowing, maximal in the mid-zones. Inhalation challenge testing provoked a combined asthmatic reaction without a change in DLCO. Rapid clinical recovery and more gradual radiographic and physiological improvement followed cessation of exposure to the antigen.
I M O'Brien, and
J Bull, and
B Creamer, and
R Sepulveda, and
M Harries, and
P S Burge, and
J Pepys
January 1986,
Problemy tuberkuleza,
I M O'Brien, and
J Bull, and
B Creamer, and
R Sepulveda, and
M Harries, and
P S Burge, and
J Pepys
January 1993,
Revue des maladies respiratoires,
I M O'Brien, and
J Bull, and
B Creamer, and
R Sepulveda, and
M Harries, and
P S Burge, and
J Pepys
December 1975,
Clinical allergy,
I M O'Brien, and
J Bull, and
B Creamer, and
R Sepulveda, and
M Harries, and
P S Burge, and
J Pepys
August 1992,
Journal of internal medicine,
I M O'Brien, and
J Bull, and
B Creamer, and
R Sepulveda, and
M Harries, and
P S Burge, and
J Pepys
March 2001,
Medicina clinica,
I M O'Brien, and
J Bull, and
B Creamer, and
R Sepulveda, and
M Harries, and
P S Burge, and
J Pepys
January 1983,
Critical care update,
I M O'Brien, and
J Bull, and
B Creamer, and
R Sepulveda, and
M Harries, and
P S Burge, and
J Pepys
October 1973,
Nursing mirror and midwives journal,
I M O'Brien, and
J Bull, and
B Creamer, and
R Sepulveda, and
M Harries, and
P S Burge, and
J Pepys
February 2009,
MMW Fortschritte der Medizin,
I M O'Brien, and
J Bull, and
B Creamer, and
R Sepulveda, and
M Harries, and
P S Burge, and
J Pepys
January 1975,
Seminars in roentgenology,
I M O'Brien, and
J Bull, and
B Creamer, and
R Sepulveda, and
M Harries, and
P S Burge, and
J Pepys
September 1974,
Annals of allergy,
