[Evolution of diagnostic criteria for allergic bronchopulmonary aspergillosis].

R J Cai, J T Feng
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引用次数: 0

Abstract

Allergic bronchopulmonary aspergillosis (ABPA) is a lung disease characterized by sensitization to Aspergillus fumigatus. Patients often present with recurrent wheezing, fleeting pulmonary infiltrates, and bronchiectasis. Due to the atypical clinical manifestations, unclear pathogenesis, and lack of unified diagnostic criteria, ABPA is often misdiagnosed or overlooked. In 1977, Rosenberg criteria were introduced as the first diagnostic criteria for ABPA, but without further elaboration on the weighting of diagnostic items and thresholds. In 2013, the International Society for Human and Animal Mycology (ISHAM) proposed more specific diagnostic criteria. As the understanding of fungal sensitization disease has progressed, the concept of allergic bronchopulmonary mycosis (ABPM) has been proposed and has received increasing attention. In 2021, Asano et al. proposed the ABPM diagnostic criteria and found that their diagnostic sensitivity was superior to that of Rosenberg and ISHAM criteria. In 2024, ISHAM again revised the ABPA diagnostic criteria and proposed diagnostic criteria for ABPM. This article provided an analysis and interpretation of the diagnostic criteria for ABPA/ABPM in order to help the diagnosis and treatment of this disease.

[过敏性支气管肺曲霉病诊断标准的演变]。
过敏性支气管肺曲霉病(ABPA)是一种以对烟曲霉致敏为特征的肺部疾病。患者通常表现为反复喘息,短暂的肺浸润和支气管扩张。由于临床表现不典型,发病机制不明确,缺乏统一的诊断标准,ABPA常被误诊或忽视。1977年,罗森博格标准作为ABPA的第一个诊断标准被引入,但没有进一步阐述诊断项目和阈值的权重。2013年,国际人类和动物真菌学学会(ISHAM)提出了更具体的诊断标准。随着对真菌致敏性疾病的认识不断深入,变态反应性支气管肺真菌病(ABPM)的概念被提出并受到越来越多的关注。2021年,Asano等人提出ABPM诊断标准,发现其诊断敏感性优于Rosenberg和ISHAM标准。2024年,ISHAM再次修订了ABPA诊断标准,提出了ABPM的诊断标准。本文对ABPA/ABPM的诊断标准进行分析和解释,以帮助本病的诊断和治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
3.50
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13832
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