Diagnosis of Hypersensitivity Pneumonitis ...
Document type :
Article dans une revue scientifique: Article original
PMID :
Permalink :
Title :
Diagnosis of Hypersensitivity Pneumonitis in Adults. An Official ATS/JRS/ALAT Clinical Practice Guideline.
Author(s) :
Raghu, Ganesh [Auteur]
University of Washington [Seattle]
Remy, Martine [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Ryerson, Christopher J. [Auteur]
University of British Columbia [Vancouver]
Myers, Jeffrey L. [Auteur]
University of Michigan [Ann Arbor]
Kreuter, Michael [Auteur]
Universität Heidelberg [Heidelberg] = Heidelberg University
Vasakova, Martina [Auteur]
Bargagli, Elena [Auteur]
Università degli Studi di Siena = University of Siena [UNISI]
Chung, Jonathan H. [Auteur]
Collins, Bridget F. [Auteur]
Bendstrup, Elisabeth [Auteur]
Aarhus University Hospital
Chami, Hassan A. [Auteur]
Chua, Abigail T. [Auteur]
Corte, Tamera J. [Auteur]
The University of Sydney
Dalphin, Jean-Charles [Auteur]
Centre Hospitalier Régional Universitaire de Besançon [CHRU Besançon]
Danoff, Sonye K. [Auteur]
Johns Hopkins University School of Medicine [Baltimore]
Diaz-Mendoza, Javier [Auteur]
Duggal, Abhijit [Auteur]
Cleveland Clinic
Egashira, Ryoko [Auteur]
Ewing, Thomas [Auteur]
Gulati, Mridu [Auteur]
Inoue, Yoshikazu [Auteur]
Kinki University
Jenkins, Alex R. [Auteur]
Johannson, Kerri A. [Auteur]
University of Calgary
Johkoh, Takeshi [Auteur]
Osaka University [Osaka]
Tamae-Kakazu, Maximiliano [Auteur]
Kitaichi, Masanori [Auteur]
Knight, Shandra L. [Auteur]
Koschel, Dirk [Auteur]
Lederer, David J. [Auteur]
Mageto, Yolanda [Auteur]
Maier, Lisa A. [Auteur]
Matiz, Carlos [Auteur]
Morell, Ferran [Auteur]
Vall d'Hebron University Hospital [Barcelona]
Nicholson, Andrew G. [Auteur]
Royal Brompton and Harefield NHS Foundation Trust
Patolia, Setu [Auteur]
Pereira, Carlos A. [Auteur]
Renzoni, Elisabetta A. [Auteur]
Salisbury, Margaret L. [Auteur]
Selman, Moises [Auteur]
Walsh, Simon L. F. [Auteur]
Imperial College London
Wuyts, Wim A. [Auteur]
University Hospitals Leuven [Leuven]
Wilson, Kevin. C. [Auteur]
Boston University [Boston] [BU]
University of Washington [Seattle]
Remy, Martine [Auteur]
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METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Ryerson, Christopher J. [Auteur]
University of British Columbia [Vancouver]
Myers, Jeffrey L. [Auteur]
University of Michigan [Ann Arbor]
Kreuter, Michael [Auteur]
Universität Heidelberg [Heidelberg] = Heidelberg University
Vasakova, Martina [Auteur]
Bargagli, Elena [Auteur]
Università degli Studi di Siena = University of Siena [UNISI]
Chung, Jonathan H. [Auteur]
Collins, Bridget F. [Auteur]
Bendstrup, Elisabeth [Auteur]
Aarhus University Hospital
Chami, Hassan A. [Auteur]
Chua, Abigail T. [Auteur]
Corte, Tamera J. [Auteur]
The University of Sydney
Dalphin, Jean-Charles [Auteur]
Centre Hospitalier Régional Universitaire de Besançon [CHRU Besançon]
Danoff, Sonye K. [Auteur]
Johns Hopkins University School of Medicine [Baltimore]
Diaz-Mendoza, Javier [Auteur]
Duggal, Abhijit [Auteur]
Cleveland Clinic
Egashira, Ryoko [Auteur]
Ewing, Thomas [Auteur]
Gulati, Mridu [Auteur]
Inoue, Yoshikazu [Auteur]
Kinki University
Jenkins, Alex R. [Auteur]
Johannson, Kerri A. [Auteur]
University of Calgary
Johkoh, Takeshi [Auteur]
Osaka University [Osaka]
Tamae-Kakazu, Maximiliano [Auteur]
Kitaichi, Masanori [Auteur]
Knight, Shandra L. [Auteur]
Koschel, Dirk [Auteur]
Lederer, David J. [Auteur]
Mageto, Yolanda [Auteur]
Maier, Lisa A. [Auteur]
Matiz, Carlos [Auteur]
Morell, Ferran [Auteur]
Vall d'Hebron University Hospital [Barcelona]
Nicholson, Andrew G. [Auteur]
Royal Brompton and Harefield NHS Foundation Trust
Patolia, Setu [Auteur]
Pereira, Carlos A. [Auteur]
Renzoni, Elisabetta A. [Auteur]
Salisbury, Margaret L. [Auteur]
Selman, Moises [Auteur]
Walsh, Simon L. F. [Auteur]
Imperial College London
Wuyts, Wim A. [Auteur]
University Hospitals Leuven [Leuven]
Wilson, Kevin. C. [Auteur]
Boston University [Boston] [BU]
Journal title :
American Journal of Respiratory and Critical Care Medicine
Abbreviated title :
Am. J. Respir. Crit. Care Med.
Volume number :
202
Pages :
e36-e69
Publication date :
2020-08-01
ISSN :
1535-4970
English keyword(s) :
hypersensitivity pneumonitis
fibrotic hypersensitivity pneumonitis
nonfibrotic hypersensitivity pneumonitis
interstitial lung disease
pulmonary fibrosis
fibrotic hypersensitivity pneumonitis
nonfibrotic hypersensitivity pneumonitis
interstitial lung disease
pulmonary fibrosis
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
Background: This guideline addresses the diagnosis of hypersensitivity pneumonitis (HP). It represents a collaborative effort among the American Thoracic Society, Japanese Respiratory Society, and Asociación Latinoamericana ...
Show more >Background: This guideline addresses the diagnosis of hypersensitivity pneumonitis (HP). It represents a collaborative effort among the American Thoracic Society, Japanese Respiratory Society, and Asociación Latinoamericana del Tórax. Methods: Systematic reviews were performed for six questions. The evidence was discussed, and then recommendations were formulated by a multidisciplinary committee of experts in the field of interstitial lung disease and HP using the GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) approach. Results: The guideline committee defined HP, and clinical, radiographic, and pathological features were described. HP was classified into nonfibrotic and fibrotic phenotypes. There was limited evidence that was directly applicable to all questions. The need for a thorough history and a validated questionnaire to identify potential exposures was agreed on. Serum IgG testing against potential antigens associated with HP was suggested to identify potential exposures. For patients with nonfibrotic HP, a recommendation was made in favor of obtaining bronchoalveolar lavage (BAL) fluid for lymphocyte cellular analysis, and suggestions for transbronchial lung biopsy and surgical lung biopsy were also made. For patients with fibrotic HP, suggestions were made in favor of obtaining BAL for lymphocyte cellular analysis, transbronchial lung cryobiopsy, and surgical lung biopsy. Diagnostic criteria were established, and a diagnostic algorithm was created by expert consensus. Knowledge gaps were identified as future research directions. Conclusions: The guideline committee developed a systematic approach to the diagnosis of HP. The approach should be reevaluated as new evidence accumulates.Show less >
Show more >Background: This guideline addresses the diagnosis of hypersensitivity pneumonitis (HP). It represents a collaborative effort among the American Thoracic Society, Japanese Respiratory Society, and Asociación Latinoamericana del Tórax. Methods: Systematic reviews were performed for six questions. The evidence was discussed, and then recommendations were formulated by a multidisciplinary committee of experts in the field of interstitial lung disease and HP using the GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) approach. Results: The guideline committee defined HP, and clinical, radiographic, and pathological features were described. HP was classified into nonfibrotic and fibrotic phenotypes. There was limited evidence that was directly applicable to all questions. The need for a thorough history and a validated questionnaire to identify potential exposures was agreed on. Serum IgG testing against potential antigens associated with HP was suggested to identify potential exposures. For patients with nonfibrotic HP, a recommendation was made in favor of obtaining bronchoalveolar lavage (BAL) fluid for lymphocyte cellular analysis, and suggestions for transbronchial lung biopsy and surgical lung biopsy were also made. For patients with fibrotic HP, suggestions were made in favor of obtaining BAL for lymphocyte cellular analysis, transbronchial lung cryobiopsy, and surgical lung biopsy. Diagnostic criteria were established, and a diagnostic algorithm was created by expert consensus. Knowledge gaps were identified as future research directions. Conclusions: The guideline committee developed a systematic approach to the diagnosis of HP. The approach should be reevaluated as new evidence accumulates.Show less >
Language :
Anglais
Audience :
Internationale
Popular science :
Non
Administrative institution(s) :
Université de Lille
CHU Lille
CHU Lille
Submission date :
2023-11-15T08:27:04Z
2023-12-21T09:32:18Z
2023-12-21T09:32:18Z