Allergic Bronchopulmonary Aspergillosis in Asthma and Cystic Fibrosis
2011

Allergic Bronchopulmonary Aspergillosis in Asthma and Cystic Fibrosis

publication Evidence: moderate

Author Information

Author(s): Alan P. Knutsen, Raymond G. Slavin

Primary Institution: Saint Louis University

Hypothesis

ABPA develops in genetically susceptible individuals with asthma and CF due to increased frequency and/or activity of A. fumigatus-specific Th2 CD4+ cells.

Conclusion

Early diagnosis and treatment of ABPA are essential to prevent permanent lung damage.

Supporting Evidence

  • ABPA affects approximately 1-2% of asthmatic patients and 7–9% of CF patients.
  • Genetic risks for ABPA include HLA-DR and HLA-DQ polymorphisms.
  • Treatment with systemic corticosteroids is essential for managing ABPA.

Takeaway

Some people with asthma and cystic fibrosis can get a lung disease called ABPA from a mold. If caught early, it can be treated to avoid serious lung problems.

Methodology

The article reviews genetic risks, immunopathogenesis, diagnosis, and treatment of ABPA.

Limitations

The diagnosis of ABPA in cystic fibrosis is complicated due to overlapping symptoms.

Participant Demographics

The study focuses on patients with asthma and cystic fibrosis.

Digital Object Identifier (DOI)

10.1155/2011/843763

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