TY - JOUR T1 - Feather duvet lung JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2019-231237 VL - 12 IS - 11 SP - e231237 AU - Patrick Liu-Shiu-Cheong AU - Chris RuiWen Kuo AU - Struan WA Wilkie AU - Owen Dempsey Y1 - 2019/11/01 UR - http://casereports.bmj.com/content/12/11/e231237.abstract N2 - A 43-year-old non-smoker was referred with a 3-month history of malaise, fatigue and breathlessness. Blood avian precipitins were strongly positive. Lung function testing confirmed a restrictive pattern with impaired gas transfer. A ‘ground glass’ mosaic pattern was seen on CT imaging, suggestive of hypersensitivity pneumonitis. Although he had no pet birds, on closer questioning he had recently acquired a duvet and pillows containing feathers. His symptoms, chest radiograph and lung function tests improved after removal of all feather bedding, and he was also started on oral corticosteroid therapy. Our case reinforces the importance of taking a meticulous exposure history and asking about domestic bedding in patients with unexplained breathlessness. Prompt recognition and cessation of antigen exposure may prevent the development of irreversible lung fibrosis. ER -