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Chronic hypersensitivity pneumonitis
Hypersensitivity pneumonitis (HSP) is a common interstitial lung disease resulting from inhalation of a large variety of antigens by susceptible individuals. The disease is best classified as acute and chronic. Chronic HSP can be fibrosing or not. Fibrotic HSP has a large differential diagnosis and...
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Published in: | Journal of asthma and allergy 2016-01, Vol.9, p.171-181 |
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creator | Pereira, Carlos Ac Gimenez, Andréa Kuranishi, Lilian Storrer, Karin |
description | Hypersensitivity pneumonitis (HSP) is a common interstitial lung disease resulting from inhalation of a large variety of antigens by susceptible individuals. The disease is best classified as acute and chronic. Chronic HSP can be fibrosing or not. Fibrotic HSP has a large differential diagnosis and has a worse prognosis. The most common etiologies for HSP are reviewed. Diagnostic criteria are proposed for both chronic forms based on exposure, lung auscultation, lung function tests, HRCT findings, bronchoalveolar lavage, and biopsies. Treatment options are limited, but lung transplantation results in greater survival in comparison to idiopathic pulmonary fibrosis. Randomized trials with new antifibrotic agents are necessary. |
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The disease is best classified as acute and chronic. Chronic HSP can be fibrosing or not. Fibrotic HSP has a large differential diagnosis and has a worse prognosis. The most common etiologies for HSP are reviewed. Diagnostic criteria are proposed for both chronic forms based on exposure, lung auscultation, lung function tests, HRCT findings, bronchoalveolar lavage, and biopsies. Treatment options are limited, but lung transplantation results in greater survival in comparison to idiopathic pulmonary fibrosis. Randomized trials with new antifibrotic agents are necessary.</description><identifier>ISSN: 1178-6965</identifier><identifier>EISSN: 1178-6965</identifier><identifier>DOI: 10.2147/JAA.S81540</identifier><identifier>PMID: 27703382</identifier><language>eng</language><publisher>New Zealand: Dove Medical Press Limited</publisher><subject>Airway management ; Alveoli ; Alveolitis ; Antigens ; Bronchus ; Care and treatment ; Cluster analysis ; Cytokines ; Development and progression ; Differential diagnosis ; Disease susceptibility ; Extrinsic allergic alveolitis ; Fibrosis ; Hypersensitivity ; Hypersensitivity pneumonitis ; Inflammation ; Inhalation ; Lung diseases ; Lung transplantation ; Medical prognosis ; Organ transplantation ; Peptides ; Pneumonia ; Pneumonitis ; Prognosis ; Pulmonary fibrosis ; Pulmonary function tests ; Respiratory function ; Review ; Tomography</subject><ispartof>Journal of asthma and allergy, 2016-01, Vol.9, p.171-181</ispartof><rights>COPYRIGHT 2016 Dove Medical Press Limited</rights><rights>2016. This work is licensed under https://creativecommons.org/licenses/by-nc/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2016 Pereira et al. This work is published and licensed by Dove Medical Press Limited 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c570t-dcf4e86f2d21882cc81d2d4f1de987c47bd6b15ee2a3bd325b22ba09d1d129a83</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2229449118/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2229449118?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25752,27923,27924,37011,37012,44589,53790,53792,74897</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27703382$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pereira, Carlos Ac</creatorcontrib><creatorcontrib>Gimenez, Andréa</creatorcontrib><creatorcontrib>Kuranishi, Lilian</creatorcontrib><creatorcontrib>Storrer, Karin</creatorcontrib><title>Chronic hypersensitivity pneumonitis</title><title>Journal of asthma and allergy</title><addtitle>J Asthma Allergy</addtitle><description>Hypersensitivity pneumonitis (HSP) is a common interstitial lung disease resulting from inhalation of a large variety of antigens by susceptible individuals. The disease is best classified as acute and chronic. Chronic HSP can be fibrosing or not. Fibrotic HSP has a large differential diagnosis and has a worse prognosis. The most common etiologies for HSP are reviewed. Diagnostic criteria are proposed for both chronic forms based on exposure, lung auscultation, lung function tests, HRCT findings, bronchoalveolar lavage, and biopsies. Treatment options are limited, but lung transplantation results in greater survival in comparison to idiopathic pulmonary fibrosis. Randomized trials with new antifibrotic agents are necessary.</description><subject>Airway management</subject><subject>Alveoli</subject><subject>Alveolitis</subject><subject>Antigens</subject><subject>Bronchus</subject><subject>Care and treatment</subject><subject>Cluster analysis</subject><subject>Cytokines</subject><subject>Development and progression</subject><subject>Differential diagnosis</subject><subject>Disease susceptibility</subject><subject>Extrinsic allergic alveolitis</subject><subject>Fibrosis</subject><subject>Hypersensitivity</subject><subject>Hypersensitivity pneumonitis</subject><subject>Inflammation</subject><subject>Inhalation</subject><subject>Lung diseases</subject><subject>Lung transplantation</subject><subject>Medical prognosis</subject><subject>Organ transplantation</subject><subject>Peptides</subject><subject>Pneumonia</subject><subject>Pneumonitis</subject><subject>Prognosis</subject><subject>Pulmonary fibrosis</subject><subject>Pulmonary function tests</subject><subject>Respiratory function</subject><subject>Review</subject><subject>Tomography</subject><issn>1178-6965</issn><issn>1178-6965</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptkl1rFDEUhoNYbKm98QdIQZEi7JrvjxthWay2FHqhXodMktnJMpOsyUxh_71Zt9ZdaXKRwznPeQ85vAC8QXCOERWfbheL-XeJGIUvwBlCQs644uzlQXwKLkpZw3qI4pzwV-AUCwEJkfgMvF92OcVgL7vtxufiYwljeAjj9nIT_TTU0hjKa3DSmr74i8f3HPy8_vJj-W12d__1Zrm4m1km4DhztqVe8hY7jKTE1krksKMtcl5JYaloHG8Q8x4b0jiCWYNxY6ByyCGsjCTn4Gav65JZ600Og8lbnUzQfxIpr7TJY7C916aBQhnVUGIMta2QRBhORIuMIFAwVrU-77U2UzN4Z30cs-mPRI8rMXR6lR40g4QzhqvA1aNATr8mX0Y9hGJ935vo01Q0koQRjqjczXr3H7pOU451VRpjrChVCMl_1MrUD4TYpjrX7kT1gkHOGaSCV2r-DFWv80OwKfo21PxRw4eDhs6bfuxK6qcxpFiOwY970OZUSvbt0zIQ1Dsv6eolvfdShd8eru8J_esc8hvFOcDN</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Pereira, Carlos Ac</creator><creator>Gimenez, Andréa</creator><creator>Kuranishi, Lilian</creator><creator>Storrer, Karin</creator><general>Dove Medical Press Limited</general><general>Taylor & Francis Ltd</general><general>Dove Medical Press</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7XB</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>KB0</scope><scope>LK8</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20160101</creationdate><title>Chronic hypersensitivity pneumonitis</title><author>Pereira, Carlos Ac ; Gimenez, Andréa ; Kuranishi, Lilian ; Storrer, Karin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c570t-dcf4e86f2d21882cc81d2d4f1de987c47bd6b15ee2a3bd325b22ba09d1d129a83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Airway management</topic><topic>Alveoli</topic><topic>Alveolitis</topic><topic>Antigens</topic><topic>Bronchus</topic><topic>Care and treatment</topic><topic>Cluster analysis</topic><topic>Cytokines</topic><topic>Development and progression</topic><topic>Differential diagnosis</topic><topic>Disease susceptibility</topic><topic>Extrinsic allergic alveolitis</topic><topic>Fibrosis</topic><topic>Hypersensitivity</topic><topic>Hypersensitivity pneumonitis</topic><topic>Inflammation</topic><topic>Inhalation</topic><topic>Lung diseases</topic><topic>Lung transplantation</topic><topic>Medical prognosis</topic><topic>Organ transplantation</topic><topic>Peptides</topic><topic>Pneumonia</topic><topic>Pneumonitis</topic><topic>Prognosis</topic><topic>Pulmonary fibrosis</topic><topic>Pulmonary function tests</topic><topic>Respiratory function</topic><topic>Review</topic><topic>Tomography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pereira, Carlos Ac</creatorcontrib><creatorcontrib>Gimenez, Andréa</creatorcontrib><creatorcontrib>Kuranishi, Lilian</creatorcontrib><creatorcontrib>Storrer, Karin</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Public Health Database (ProQuest Medical & Health Databases)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Biological Sciences</collection><collection>ProQuest research library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Journal of asthma and allergy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pereira, Carlos Ac</au><au>Gimenez, Andréa</au><au>Kuranishi, Lilian</au><au>Storrer, Karin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chronic hypersensitivity pneumonitis</atitle><jtitle>Journal of asthma and allergy</jtitle><addtitle>J Asthma Allergy</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>9</volume><spage>171</spage><epage>181</epage><pages>171-181</pages><issn>1178-6965</issn><eissn>1178-6965</eissn><abstract>Hypersensitivity pneumonitis (HSP) is a common interstitial lung disease resulting from inhalation of a large variety of antigens by susceptible individuals. 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subjects | Airway management Alveoli Alveolitis Antigens Bronchus Care and treatment Cluster analysis Cytokines Development and progression Differential diagnosis Disease susceptibility Extrinsic allergic alveolitis Fibrosis Hypersensitivity Hypersensitivity pneumonitis Inflammation Inhalation Lung diseases Lung transplantation Medical prognosis Organ transplantation Peptides Pneumonia Pneumonitis Prognosis Pulmonary fibrosis Pulmonary function tests Respiratory function Review Tomography |
title | Chronic hypersensitivity pneumonitis |
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