Fibrosierte Hypersensitivitätspneumonie: Fokus auf pathologierelevante Aspekte der neuen klinischen Leitlinie der ATS/JRS/ALAT zur Diagnostik der Hypersensitivitätspneumonie bei Erwachsenen [Fibrotic hypersensitivity pneumonia: focus on pathology-relevant aspects of the new ATS/JRS/ALAT clinical guideline for the diagnosis of hypersensitivity pneumonia in adults]

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_B26A4D252A71
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Fibrosierte Hypersensitivitätspneumonie: Fokus auf pathologierelevante Aspekte der neuen klinischen Leitlinie der ATS/JRS/ALAT zur Diagnostik der Hypersensitivitätspneumonie bei Erwachsenen [Fibrotic hypersensitivity pneumonia: focus on pathology-relevant aspects of the new ATS/JRS/ALAT clinical guideline for the diagnosis of hypersensitivity pneumonia in adults]
Journal
Der Pathologe
Author(s)
Berezowska S.
ISSN
1432-1963 (Electronic)
ISSN-L
0172-8113
Publication state
Published
Issued date
02/2021
Peer-reviewed
Oui
Volume
42
Number
1
Pages
48-54
Language
german
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
Hypersensitivity pneumonia (HP), also called exogenous allergic alveolitis, is a chronic interstitial pneumonia induced by a hypersensitivity reaction to an identified or unidentified antigen in exposed and susceptible individuals that may progress to terminal lung fibrosis. The diagnosis of HP presents a diagnostic challenge. Though therapeutically important, it may be particularly difficult to differentiate fibrotic HP, historically termed chronic HP, from idiopathic pulmonary fibrosis (IPF) or interstitial lung disease associated with connective tissue diseases (CTD-ILD). Multidisciplinary discussion and thus a synoptic evaluation of all findings is firmly established as the gold standard diagnostic approach in interstitial lung diseases including HP. Nonetheless, the high interobserver variability between experts from the individual disciplines (pulmonology, radiology, and pathology) and between experienced multidisciplinary teams in assessing the diagnostic probability of HP has highlighted the need for widely accepted guidelines.The present review summarizes pathology-relevant aspects of the new ATS/JRS/ALAT clinical practice guideline for the diagnosis of HP in adults.
Keywords
Adult, Alveolitis, Extrinsic Allergic/diagnosis, Humans, Idiopathic Pulmonary Fibrosis/diagnosis, Lung, Lung Diseases, Interstitial/diagnosis, Pneumonia, Radiography, Chronic fibrotic lung disease, Exogenous allergic alveolitis, Granuloma, Hypersensitivity pneumonitis, Idiopathic interstitial Pneumonia
Pubmed
Web of science
Open Access
Yes
Create date
29/12/2020 13:17
Last modification date
02/03/2021 6:25
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