Hypersensitivity Pneumonitis: Clinical Manifestations, Pathogenesis, Diagnosis, and Therapeutic Strategies

Selman, Moisés; Chapela, Rocío; Raghu, Ganesh

doi:10.1055/s-2007-1006335

Cited by 32 publications

(13 citation statements)

References 28 publications

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“…Host risk factors are poorly characterized, with the exception of those linked to exposure. HP is more common in males than females, with an over representation of middle-aged individuals (14). Our case was a male worker at a mushroom farm.…”

Section: Discussionmentioning

confidence: 88%

“…There is no pathognomonic clinical, radiological, or laboratory examination, including lung biopsy, for the diagnosis. Therefore, all symptoms, BAL results, thoracic imaging techniques, laboratory tests, and usually a biopsy, have to be evaluated together (14). In practice, a transbronchial lung biopsy is often performed in patients with insufficient or suspicious clinical findings performed to distinguish from other interstitial lung diseases and make a definite diagnosis.…”

Section: Discussionmentioning

confidence: 99%

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Hypersensitivity Pneumonitis Caused by Oyster Mushrooms: A Case of Mushroom Worker's Lung

Bekçi¹,

Çalık²,

Yalçın³

2018

Respir Case Rep

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The commercial production of mushrooms is often carried out in indoor areas and controlled environments with intense labor performed throughout the year. Indoor cultivation can lead to allergic symptoms, such as extrinsic allergic alveolitis, also known as hypersensitivity pneumonitis, in workers. A 23-yearold male patient's symptoms emerged after beginning to work in mushroom cultivation. The patient was admitted to the clinic with complaints of chills, fever, joint pain, and a skin rash. Based on his medical history and a physical and radiographical examination, the patient was diagnosed as hypersensitivity pneumonitis and medical therapy was initiated. The patient's symptoms disappeared within a few days and he was discharged at the end of the first week. Given the difficulties in the diagnosis of disease, the patient's professional history should always be kept in mind as well as medical history, physical examination, and radiographic evaluation.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Hypersensitivity Pneumonitis Caused by Oyster Mushrooms: A Case of Mushroom Worker's Lung

Bekçi¹,

Çalık²,

Yalçın³

2018

Respir Case Rep

View full text Add to dashboard Cite

show abstract

“…The diagnosis was probably missed because the disease is so rare that it is often not considered in the differential diagnosis. Although the clinical and radiological picture was typical of PHX, we decided to proceed with a thoracoscopic lung biopsy to confirm PHX and to exclude other diagnoses, such as hypersensitivity pneumonitis due to intra-nasal DDAVP 8 and sarcoidosis, 9 which can be associated with both CDI and lung disease. Presumably, the lack of case reports from the Middle East is due to the rarity of the disease in this population and to underreporting.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary Histiocytosis X

et al. 1998

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“…(36) In addition, the diagnostic criteria for HP are defined, more weight being given to CT patterns suggestive of HP and to the possibility of confirming the diagnosis by BAL and TBB. (37) With regard to treatment, the guidelines emphasize the need for withdrawal from exposure; corticosteroids, which determine a better response mainly in the acute and subacute phases can be used.…”

Section: Hpmentioning

confidence: 99%

Destaques das diretrizes de doenças pulmonares intersticiais da Sociedade Brasileira de Pneumologia e Tisiologia

et al. 2012

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Interstitial lung diseases (ILDs) are heterogeneous disorders, involving a large number of conditions, the approach to which continues to pose an enormous challenge for pulmonologists. The 2012 Brazilian Thoracic Association ILD Guidelines were established in order to provide Brazilian pulmonologists with an instrument that can facilitate the management of patients with ILDs, standardizing the criteria used for the diagnosis of different conditions and offering guidance on the best treatment in various situations. The objective of this article was to briefly describe the highlights of those guidelines.Keywords: Lung diseases, interstitial; Guidelines as topic; Brazil. ResumoAs doenças pulmonares intersticiais (DPIs) são afecções heterogêneas, envolvendo um elevado número de condições, cuja abordagem ainda é um grande desafio para o pneumologista. As Diretrizes de DPIs da Sociedade Brasileira de Pneumologia e Tisiologia, publicadas em 2012, foram estabelecidas com o intuito de fornecer aos pneumologistas brasileiros um instrumento que possa facilitar a abordagem dos pacientes com DPIs, padronizando-se os critérios utilizados para a definição diagnóstica das diferentes condições, além de orientar sobre o melhor tratamento nas diferentes situações. Esse artigo teve como objetivo descrever resumidamente os principais destaques dessas diretrizes.Descritores: Doenças pulmonares intersticiais; Guias como assunto; Brasil.

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Hypersensitivity Pneumonitis: Clinical Manifestations, Pathogenesis, Diagnosis, and Therapeutic Strategies

Cited by 32 publications

References 28 publications

Hypersensitivity Pneumonitis Caused by Oyster Mushrooms: A Case of Mushroom Worker's Lung

Hypersensitivity Pneumonitis Caused by Oyster Mushrooms: A Case of Mushroom Worker's Lung

Pulmonary Histiocytosis X

Destaques das diretrizes de doenças pulmonares intersticiais da Sociedade Brasileira de Pneumologia e Tisiologia

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