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
[31]   RELATIONSHIP BETWEEN PLASMA-CELL LEVELS AND PROFILE OF BRONCHOALVEOLAR LAVAGE FLUID IN PATIENTS WITH SUBACUTE EXTRINSIC ALLERGIC ALVEOLITIS [J].
DRENT, M ;
WAGENAAR, S ;
VANVELZENBLAD, H ;
MULDER, PGH ;
HOOGSTEDEN, HC ;
VANDENBOSCH, JMM .
THORAX, 1993, 48 (08) :835-839
[32]   CLINICAL PATHOLOGIC + IMMUNOLOGIC STUDY OF 24 PATIENTS [J].
EMANUEL, DA ;
BOWERMAN, CI ;
WENZEL, FJ ;
LAWTON, BR .
AMERICAN JOURNAL OF MEDICINE, 1964, 37 (03) :392-&
[33]   Long-term risk of emphysema in patients with farmer's lung and matched control farmers [J].
Erkinjuntti-Pekkanen, R ;
Rytkonen, H ;
Kokkarinen, JI ;
Tukiainen, HO ;
Partanen, K ;
Terho, EO .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1998, 158 (02) :662-665
[34]   IgG antibodies, chronic bronchitis, and pulmonary function values in farmer's lung patients and matched controls [J].
Erkinjuntti-Pekkanen, R ;
Reiman, M ;
Kokkarinen, JI ;
Tukiainen, HO ;
Terho, EO .
ALLERGY, 1999, 54 (11) :1181-1187
[35]   Long-term outcome of pulmonary function in farmer's lung: a 14 year follow-up with matched controls [J].
ErkinjunttiPekkanen, R ;
Kokkarinen, JI ;
Tukiainen, HO ;
Pekkanen, J ;
Husman, K ;
Terho, EO .
EUROPEAN RESPIRATORY JOURNAL, 1997, 10 (09) :2046-2050
[36]   Diagnostic value of serum precipitins to mould antigens in active hypersensitivity pneumonitis [J].
Fenoglio, C-M. ;
Reboux, G. ;
Sudre, B. ;
Mercier, M. ;
Roussel, S. ;
Cordier, J-F. ;
Piarroux, R. ;
Dalphin, J-C. .
EUROPEAN RESPIRATORY JOURNAL, 2007, 29 (04) :706-712
[37]   Morphologic diversity of chronic pigeon breeder's disease: Clinical features and survival [J].
Gaxiola, Miguel ;
Buendia-Roldan, Ivette ;
Mejia, Mayra ;
Carrillo, Guillermo ;
Estrada, Andrea ;
Carmen Navarro, Mary ;
Rojas-Serrano, Jorge ;
Selman, Moises .
RESPIRATORY MEDICINE, 2011, 105 (04) :608-614
[38]  
Grech V, 2000, PEDIATR PULM, V30, P145, DOI 10.1002/1099-0496(200008)30:2<145::AID-PPUL10>3.0.CO
[39]  
2-4
[40]  
Greinert U, 2000, PNEUMOLOGIE, V54, P179