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Farmers lung

MedGen UID:
8785
•Concept ID:
C0015634
•
Disease or Syndrome
Synonyms: Farmer's lung; Farmer's lung disease
SNOMED CT: Moldy hay disease (18690003); Farmers lung (18690003); Farmers' lung (18690003); Farmers' lung disease (18690003); Moldy-hay disease (18690003)
 
Monarch Initiative: MONDO:0001971
Orphanet: ORPHA99906

Definition

Farmer's lung disease is the main form of occupational hypersensitivity pneumonitis (see this term), caused by chronic inhalation of microorganisms, often thermophilic actinomycetes and less commonly <i>saccharopolyspora rectivirgula</i>, living in mouldy hay, straw, or grain. It is characterized by variable degrees of dyspnea, cough, tiredness, headaches and occasional fever/night sweats, with acute, sub-acute or chronic clinical course [from ORDO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVFarmers lung
Follow this link to review classifications for Farmers lung in Orphanet.

Professional guidelines

PubMed

Recommendations From the International Consensus Conference on Anemia Management in Surgical Patients (ICCAMS).
Shander A, Corwin HL, Meier J, Auerbach M, Bisbe E, Blitz J, Erhard J, Faraoni D, Farmer SL, Frank SM, Girelli D, Hall T, Hardy JF, Hofmann A, Lee CK, Leung TW, Ozawa S, Sathar J, Spahn DR, Torres R, Warner MA, Muñoz M
Ann Surg 2023 Apr 1;277(4):581-590. Epub 2022 Sep 21 doi: 10.1097/SLA.0000000000005721. PMID: 36134567Free PMC Article
The Multi-Drug Resistant Tuberculosis Diagnosis and Treatment Cascade in Bangladesh.
Hossain ST, Isaakidis P, Sagili KD, Islam S, Islam MA, Shewade HD, Kamal SM, Husain A
PLoS One 2015;10(6):e0129155. Epub 2015 Jun 25 doi: 10.1371/journal.pone.0129155. PMID: 26110273Free PMC Article
Clinical aspects of farmer's lung: airway reactivity, treatment and prognosis.
Mönkäre S
Eur J Respir Dis Suppl 1984;137:1-68. PMID: 6426996

Recent clinical studies

Etiology

Characteristics of hypersensitivity pneumonitis diagnosed by interstitial and occupational lung disease multi-disciplinary team consensus.
Walters GI, Mokhlis JM, Moore VC, Robertson AS, Burge GA, Bhomra PS, Burge PS
Respir Med 2019 Aug;155:19-25. Epub 2019 Jun 29 doi: 10.1016/j.rmed.2019.06.026. PMID: 31295673
Cross-Shift Changes in Lung Function Among Palestinian Farmers During High- and Low-Exposure Periods to Pesticides: A Longitudinal Study.
Sham'a FA, Skogstad M, Nijem K, Bjertness E, Kristensen P
Arch Environ Occup Health 2015;70(4):218-24. doi: 10.1080/19338244.2013.859122. PMID: 25386741
Work-related lung diseases.
Weston A
IARC Sci Publ 2011;(163):387-405. PMID: 22997873
Bronchoalveolar lavage in farmers' lung disease: diagnostic and physiological significance.
Cormier Y, Bélanger J, LeBlanc P, Laviolette M
Br J Ind Med 1986 Jun;43(6):401-5. doi: 10.1136/oem.43.6.401. PMID: 3426661Free PMC Article
Bronchial hyperreactivity to methacholine in farmers' lung disease.
Freedman PM, Ault B
J Allergy Clin Immunol 1981 Jan;67(1):59-63. doi: 10.1016/0091-6749(81)90046-4. PMID: 7451772

Diagnosis

Hypersensitivity Pneumonitis in Farmers: Improving Etiologic Diagnosis to Optimize Counselling.
Tjalvin G, Mikkelsen KE, Apelseth TO, Hollund BE, Svanes C, Van Do T
J Agromedicine 2020 Jan;25(1):65-72. Epub 2019 Apr 27 doi: 10.1080/1059924X.2019.1605954. PMID: 31030638
Characteristics of hypersensitivity pneumonitis diagnosed by interstitial and occupational lung disease multi-disciplinary team consensus.
Walters GI, Mokhlis JM, Moore VC, Robertson AS, Burge GA, Bhomra PS, Burge PS
Respir Med 2019 Aug;155:19-25. Epub 2019 Jun 29 doi: 10.1016/j.rmed.2019.06.026. PMID: 31295673
High prevalence of obstructive lung disease in non-smoking farmers: The Irish farmers lung health study.
Cushen B, Sulaiman I, Donoghue N, Langan D, Cahill T, Nic Dhonncha E, Healy O, Keegan F, Browne M, O'Regan A
Respir Med 2016 Jun;115:13-9. Epub 2016 Apr 20 doi: 10.1016/j.rmed.2016.04.006. PMID: 27215498
Work-related lung diseases.
Weston A
IARC Sci Publ 2011;(163):387-405. PMID: 22997873
Bronchoalveolar lavage in farmers' lung disease: diagnostic and physiological significance.
Cormier Y, Bélanger J, LeBlanc P, Laviolette M
Br J Ind Med 1986 Jun;43(6):401-5. doi: 10.1136/oem.43.6.401. PMID: 3426661Free PMC Article

Therapy

Hypersensitivity Pneumonitis in Farmers: Improving Etiologic Diagnosis to Optimize Counselling.
Tjalvin G, Mikkelsen KE, Apelseth TO, Hollund BE, Svanes C, Van Do T
J Agromedicine 2020 Jan;25(1):65-72. Epub 2019 Apr 27 doi: 10.1080/1059924X.2019.1605954. PMID: 31030638
Characteristics of hypersensitivity pneumonitis diagnosed by interstitial and occupational lung disease multi-disciplinary team consensus.
Walters GI, Mokhlis JM, Moore VC, Robertson AS, Burge GA, Bhomra PS, Burge PS
Respir Med 2019 Aug;155:19-25. Epub 2019 Jun 29 doi: 10.1016/j.rmed.2019.06.026. PMID: 31295673
High prevalence of obstructive lung disease in non-smoking farmers: The Irish farmers lung health study.
Cushen B, Sulaiman I, Donoghue N, Langan D, Cahill T, Nic Dhonncha E, Healy O, Keegan F, Browne M, O'Regan A
Respir Med 2016 Jun;115:13-9. Epub 2016 Apr 20 doi: 10.1016/j.rmed.2016.04.006. PMID: 27215498
Health and safety needs of older farmers: part II. Agricultural injuries.
Lizer SK, Petrea RE
AAOHN J 2008 Jan;56(1):9-14. doi: 10.3928/08910162-20080101-05. PMID: 18293596
Dust exposure in coeliac disease: a case-referent study.
Axmacher B, Axelson O, Frödin T, Gotthard R, Hed J, Molin L, Brage HN, Ström M
Br J Ind Med 1991 Oct;48(10):715-7. doi: 10.1136/oem.48.10.715. PMID: 1931732Free PMC Article

Prognosis

Farmers' lung and extrinsic allergic alveolitis.
Pepys J
Practitioner 1987 Apr 8;231(1427):487-92. PMID: 3684935

Clinical prediction guides

Bioaerosol exposure assessment in the workplace: the past, present and recent advances.
Eduard W, Heederik D, Duchaine C, Green BJ
J Environ Monit 2012 Feb;14(2):334-9. Epub 2012 Jan 23 doi: 10.1039/c2em10717a. PMID: 22267210Free PMC Article
Health and safety needs of older farmers: part II. Agricultural injuries.
Lizer SK, Petrea RE
AAOHN J 2008 Jan;56(1):9-14. doi: 10.3928/08910162-20080101-05. PMID: 18293596
Occupational respiratory health of New Zealand horse trainers.
Gallagher LM, Crane J, Fitzharris P, Bates MN
Int Arch Occup Environ Health 2007 Feb;80(4):335-41. Epub 2006 Sep 26 doi: 10.1007/s00420-006-0141-4. PMID: 17021845

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