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Determining very early phases of hypersensitivity pneumonitis (HP) is hampered by adjustable presentation, heterogeneous or undetected causal antigens and not enough gold-standard biomarkers. Krebs von den Lungen (KL)-6 is pathophysiological biomarker of alveolar epithelial harm. Pigeon fanciers, at risk of HP, supply a model to analyze early HP. Medical history, spirometry and bloodstream samples had been gotten from pigeon fanciers, 20 with intermittent severe sym