Abstract
Allergic bronchopulmonary aspergillosis (ABPA) has been reported in various degrees among patients with persistent allergic asthma (PAA). Currently, there is no gold standard approach for diagnosis of ABPA. In the current study, we aimed the evaluation of three different mainly used algorithms as Rosenberg & Patterson (A), ISHAM Working Group (B) and Greenberger (C) for diagnosis of ABPA in 200 patients with underlying PAA. All patients were evaluated using Aspergillus skin prick test (SPTAf), Aspergillus-specific IgE (sIgEAf) and IgG (sIgGAf), total IgE (tIgE), pulmonary function tests, radiological findings and peripheral blood eosinophil count. The prevalence rate of ABPA in PAA patients was estimated by three diagnostic criteria. We used Latent Class Analysis for the evaluation of different diagnostic parameters in different applied ABPA diagnostic algorithms. Aspergillus sensitisation was observed in 30 (15.0%) patients. According to algorithms A, B and C, nine (4.5%), six (3.0%) and 11 (5.5%) of patients were diagnosed with ABPA, respectively. The sensitivity and specificity of criteria B and C were (55.6% and 99.5%) and (100.0% and 98.9%) respectively. sIgEAf and sIgGAf showed the high significant sensitivity. The perfor...Continue Reading
References
Jun 1, 1977·Thorax·J L MaloJ Pepys
Apr 1, 1977·Annals of Internal Medicine·M RosenbergK E Harris
Feb 1, 1975·Thorax·D J HendrickJ Pepys
May 1, 1983·Clinical Allergy·R C RadinA Ghory
Jul 14, 2000·Chest·T EatonA U Wells
Feb 1, 2002·Preventive Veterinary Medicine·Régis PouillotIan A Gardner
Aug 11, 2006·Chest·Ritesh AgarwalSurinder K Jindal
Jul 25, 2007·Chest·Ritesh AgarwalSurinder K Jindal
May 5, 2010·Lung India : Official Organ of Indian Chest Society·R PrasadA D Shukla
Dec 9, 2010·Lung India : Official Organ of Indian Chest Society·Anirban SarkarSubhra Mitra
Nov 29, 2011·Journal of Infection and Public Health·Ritesh AgarwalArunaloke Chakrabarti
Jan 31, 2012·The Journal of Allergy and Clinical Immunology·Alan P KnutsenAndrew J Wardlaw
Apr 18, 2013·PloS One·Ritesh AgarwalArunaloke Chakrabarti
Jun 29, 2013·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Paul A Greenberger
Jul 31, 2013·Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology·R AgarwalUNKNOWN ABPA complicating asthma ISHAM working group
Dec 3, 2014·The Journal of Allergy and Clinical Immunology. in Practice·Paul A GreenbergerAlan P Knutsen
Jan 19, 2016·Expert Review of Clinical Immunology·Jonathan RodriguesAlan P Knutsen
Apr 30, 2016·Allergy, Asthma & Immunology Research·Ashok Shah, Chandramani Panjabi
Mar 1, 2016·Current Medical Mycology·B MousaviS Syedmousavi
Mar 20, 2018·Indian Journal of Pediatrics·Meenu SinghGyan Ranjan Nayak
Jan 10, 2019·International Archives of Allergy and Immunology·Bin LouYu Chen
Nov 15, 2019·Clinical Microbiology Reviews·Jean-Paul Latgé, Georgios Chamilos