Article Text

Download PDFPDF
Pneumomediastinum: a rare manifestation of hypersensitivity pneumonitis in a patient presenting with unexplained breathlessness at the Borders General Hospital
  1. Robert Grecian1,
  2. Jakki Faccenda1,
  3. Luis Ferrando2
  1. 1Department of Medicine, NHS Borders, Melrose, UK
  2. 2Department of Radiology, NHS Borders, Melrose, UK
  1. Correspondence to Dr Robert Grecian, robert.grecian{at}


A 48-year-old woman from the Scottish Borders presented to her general practitioner with exertional dyspnoea. There was a delay in diagnosis of the underlying respiratory condition, due to initial investigations being suggestive of cardiac disease. Subsequently, the patient developed clinical symptoms and signs of pneumomediastinum, which was discovered on radiological imaging. Detailed history-taking and further clinical testing confirmed the cause of this to be hypersensitivity pneumonitis due to sensitisation to pet birds. The patient was treated with high dose steroids and went on to make a good recovery. The birds were rehomed.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.