Chronic Hypersensitivity Pneumonitis

被引:86
作者
Costabel, Ulrich [1 ]
Bonella, Francesco [1 ]
Guzman, Josune [2 ]
机构
[1] Univ Hosp, Ruhrlandklin, Dept Pneumol Allergy, D-45239 Essen, Germany
[2] Ruhr Univ Bochum, BG Kliniken Bergmannsheil, Inst Pathol, D-44789 Bochum, Germany
关键词
Hypersensitivity pneumonitis; Farmer's lung; Bird fancier's disease; HRCT; Histopathology; Prognosis; EXTRINSIC ALLERGIC ALVEOLITIS; BRONCHOALVEOLAR LAVAGE FLUID; NECROSIS-FACTOR-ALPHA; PIGEON-BREEDERS LUNG; BIRD FANCIERS LUNG; HIGH-RESOLUTION CT; DRY SAUSAGE MOLD; FARMERS LUNG; PULMONARY-FUNCTION; GENE POLYMORPHISMS;
D O I
10.1016/j.ccm.2011.12.004
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Hypersensitivity pneumonitis (HP) is a complex syndrome caused by the inhalation of environmental antigens. Chronic HP may mimic other fibrotic lung diseases, such as idiopathic pulmonary fibrosis. Recognition of the antigen is important for diagnosis; avoidance of further exposure is critical for treatment. Fibrosis on biopsy or high-resolution computed tomography is a predictor of increased mortality. Additional research is needed to understand why the disease develops only in a minority of exposed individuals and why cases of chronic HP may progress without further antigen exposure.
引用
收藏
页码:151 / +
页数:14
相关论文
共 89 条
[1]   CHRONIC HYPERSENSITIVITY PNEUMONITIS - HIGH-RESOLUTION CT AND RADIOGRAPHIC FEATURES IN 16 PATIENTS [J].
ADLER, BD ;
PADLEY, SPG ;
MULLER, NL ;
REMYJARDIN, M ;
REMY, J .
RADIOLOGY, 1992, 185 (01) :91-95
[2]   Histopathologic Analysis of Sixteen Autopsy Cases of Chronic Hypersensitivity Pneumonitis and Comparison With Idiopathic Pulmonary Fibrosis/Usual Interstitial Pneumonia [J].
Akashi, Takumi ;
Takemura, Tamiko ;
Ando, Noboru ;
Eishi, Yoshinobu ;
Kitagawa, Masanobu ;
Takizawa, Touichirou ;
Koike, Morio ;
Ohtani, Yoshio ;
Miyazaki, Yasunari ;
Inase, Naohiko ;
Yoshizawa, Yasuyuki .
AMERICAN JOURNAL OF CLINICAL PATHOLOGY, 2009, 131 (03) :405-415
[3]  
ALLEN DH, 1976, AM REV RESPIR DIS, V114, P555
[4]   DIFFERENCE IN THE PHENOTYPES OF BRONCHOALVEOLAR LAVAGE LYMPHOCYTES IN PATIENTS WITH SUMMER-TYPE HYPERSENSITIVITY PNEUMONITIS, FARMERS LUNG, VENTILATION PNEUMONITIS, AND BIRD FANCIERS LUNG - REPORT OF A NATIONWIDE EPIDEMIOLOGIC-STUDY IN JAPAN [J].
ANDO, M ;
KONISHI, K ;
YONEDA, R ;
TAMURA, M .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 1991, 87 (05) :1002-1009
[5]  
[Anonymous], 2011, INTERSTITIAL LUNG DI
[6]   Transporter associated with antigen processing (TAP) 1 gene polymorphisms in patients with hypersensitivity pneumonitis [J].
Aquino-Galvez, Arnoldo ;
Camarena, Angel ;
Montano, Martha ;
Juarez, Armida ;
Zamora, Ana C. ;
Gonzalez-Avila, Georgina ;
Checa, Marco ;
Sandoval-Lopez, Gabriel ;
Vargas-Alarcon, Gilberto ;
Granados, Julio ;
Pardo, Annie ;
Zuniga, Joaquin ;
Selman, Moises .
EXPERIMENTAL AND MOLECULAR PATHOLOGY, 2008, 84 (02) :173-177
[7]  
BARBEE RA, 1968, AM REV RESPIR DIS, V97, P223
[8]   Functional diversity of T-Cell Subpopulations in subacute and chronic hypersensitivity pneumonitis [J].
Barrera, Lourdes ;
Mendoza, Felipe ;
Zuniga, Joaquin ;
Estrada, Andrea ;
Zamora, Ana C. ;
Melendro, Emma I. ;
Ramirez, Remedios ;
Pardo, Annie ;
Selman, Moises .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2008, 177 (01) :44-55
[9]  
BAUR X, 1992, RESPIRATION, V59, P211
[10]   LONGITUDINAL COURSE OF EXTRINSIC ALLERGIC ALVEOLITIS IN PIGEON-BREEDERS [J].
BOURKE, SJ ;
BANHAM, SW ;
CARTER, R ;
LYNCH, P ;
BOYD, G .
THORAX, 1989, 44 (05) :415-418