Fruit Flies to Footballers 2017
DOI: 10.1136/thoraxjnl-2017-210983.112
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S106 Distribution of occupational and non-occupational causes in hypersensitivity pneumonitis diagnosed by an interstitial lung disease expert panel

Abstract: IntroductionThe aim of this study was to describe the demographic, clinical, exposure history and investigatory Results of hypersensitivity pneumonitis (HP) cases diagnosed by an expert regional NHS interstitial lung disease (ILD) board, to determine the extent and distribution of occupational aetiology.MethodsAll HP cases identified from a database over a 13 year period were included. The demographic, clinical, exposure history and investigatory Results were reviewed from clinical notes. Cases were categorise… Show more

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“…The definition of HP implies the presence of a causative environmental antigen (inciting antigen (IA)), but in a substantial proportion of cases no IA could be identified; in some series in up to 63% of cases [5]. An essential initial management step in patients with HP is avoidance of the IA, and it is presumed that as persistent exposure can lead to disease progression, failure to identify (and remove) the IA could lead to worse outcomes.…”
Section: Antigen Exposurementioning
confidence: 99%
See 1 more Smart Citation
“…The definition of HP implies the presence of a causative environmental antigen (inciting antigen (IA)), but in a substantial proportion of cases no IA could be identified; in some series in up to 63% of cases [5]. An essential initial management step in patients with HP is avoidance of the IA, and it is presumed that as persistent exposure can lead to disease progression, failure to identify (and remove) the IA could lead to worse outcomes.…”
Section: Antigen Exposurementioning
confidence: 99%
“…Chronic HP presents a particular diagnostic challenge. While the disease definition implicates the presence of a causative environmental antigen, in many cases (in some series up to two-thirds) [4,5] none can be identified. There are no established diagnostic criteria [6], with interstitial lung disease (ILD) multidisciplinary team (MDT) consensus being the gold standard for diagnosis.…”
Section: Introductionmentioning
confidence: 99%