Madison JM. Hypersensitivity pneumonitis: clinical perspectives.
Arch Pathol Lab Med 2008;
132:195-8. [PMID:
18251575 DOI:
10.5858/2008-132-195-hpcp]
[Citation(s) in RCA: 16] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/05/2007] [Indexed: 11/06/2022]
Abstract
CONTEXT
The clinical course of hypersensitivity pneumonitis (HSP) is highly variable and its diagnosis clinically challenging.
OBJECTIVE
To provide a concise review of major clinical, radiographic, and laboratory findings that permits diagnosis of HSP from the standpoint of a clinician/pulmonologist.
DATA SOURCES
Review of major contemporary and historical literature in combination with the author's experience and viewpoints.
CONCLUSIONS
The approach to the diagnosis of HSP is multidisciplinary. For patients being evaluated for unexplained dyspnea and cough and an unknown interstitial disease process, the initial evaluation should include detailed environmental and occupational histories with ancillary testing such as serology, chest imaging, inhalation challenges, and bronchoalveolar lavage, as indicated. In uncertain cases, lung biopsy is recommended.
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