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Med. Clin. North Am. · Nov 2022
ReviewHypersensitivity Pneumonitis: An Updated Diagnostic Guide for Internists.
- Megan A Koster.
- Division of Pulmonary and Critical Care, Department of Medicine, Mount Auburn Hospital, Harvard Medical School, 300 Mount Auburn Street, # 419, Cambridge, MA 02138, USA. Electronic address: megan.koster@mah.org.
- Med. Clin. North Am. 2022 Nov 1; 106 (6): 105510651055-1065.
AbstractThis summary highlights updated definitions, terminology, and classification systems proposed in the diagnosis of hypersensitivity pneumonitis. Clinical presentation, epidemiology, and pathophysiology are reviewed from the most recent data. Radiographic and histopathologic diagnostic criteria are presented in a manner relevant to the practice of general medicine internists, including new guideline recommendations. The role of adjunctive tests, such as serum IgG testing, bronchoalveolar lavage lymphocyte analysis, and pulmonary function testing is discussed in the context of supporting diagnostic confidence for hypersensitivity pneumonitis diagnosis. Finally, new diagnostic algorithms are synthesized and applied to the general internal medicine setting.Copyright © 2022 Elsevier Inc. All rights reserved.
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