Antigen-specific IgG antibodies in feather duvet lung

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Dirk Koschel - , Specialist hospital Coswig (Author)
  • Lars Lützkendorf - , Specialist hospital Coswig (Author)
  • Bärbel Wiedemann - , Institute for Medical Informatics and Biometry (Author)
  • Gert Höffken - , Specialist hospital Coswig, University Hospital Carl Gustav Carus Dresden, Department of internal Medicine I (Author)

Abstract

Background Feather duvet lung (FDL) is a rare subgroup of bird fancier's lung (BFL). We were interested in determining antigen-specific IgG antibodies in patients with FDL and comparing them with those with BFL. Material and methods Specific IgG antibodies against goose and duck feathers, analysed with an automated fluorimetric enzyme immunoassay, were measured in healthy subjects (group A, n = 30), in patients with FDL (group B, n = 10) and with BFL (group C, n = 35); typical specific IgG antibodies of BFL in groups B and C. Results An optimal threshold value for antibodies against goose or duck feathers to differentiate patients with either BFL or FDL from healthy subjects was determined at 10·85 mg L-1 for goose feathers and at 8·81 mg L-1 for duck feathers, respectively. Specific IgG antibodies against goose feathers were significantly higher in group B compared with group C. A ratio of specific IgG antibodies against goose feathers and budgerigar antigens with a threshold value of 0·91 could discriminate between patients with FDL and BFL with a specificity of 97% and a sensitivity of 90%. Conclusions We were able to demonstrate the significant difference in IgG antibodies in patients with FDL and BFL and their contribution to discriminate between these similar kinds of extrinsic allergic alveolitis.

Details

Original languageEnglish
Pages (from-to)797-802
Number of pages6
JournalEuropean journal of clinical investigation
Volume40
Issue number9
Publication statusPublished - Sept 2010
Peer-reviewedYes

External IDs

PubMed 20597960

Keywords

ASJC Scopus subject areas

Keywords

  • Bird fancier's lung, duck feathers, extrinsic-allergic alveolitis, feather duvet lung, goose feathers, hypersensitivity pneumonitis, specific IgG antibodies