[New developments in the management of hypersensitivity pneumonitis]. / Nouveautés dans la prise en charge des pneumopathies d'hypersensibilité.
Rev Mal Respir
; 38(6): 607-615, 2021 Jun.
Article
em Fr
| MEDLINE
| ID: mdl-33958252
ABSTRACT
INTRODUCTION:
Hypersensitivity pneumonitis (HP) is one of the most common interstitial lung diseases, characterized by an inflammatory and/or fibrotic reaction to inhaled antigens.BACKGROUND:
The heterogeneity of presentation and the lack of international guidelines makes management complex. In addition, the current treatment, based on antigen eviction and immunosuppressive drugs, is less effective in the fibrotic forms of HP. This article summarizes the latest data on HP and the new recommendations of the American Thoracic Society (ATS) on the diagnosis of HP.CONCLUSION:
The new ATS recommendations establish a more precise and rigorous diagnostic approach to HP. Multidisciplinary discussion plays a pivotal role both in the diagnosis and the treatment of the disease. Nintedanib has recently been shown to be effective in fibrotic HP. PERSPECTIVES Questions remain unanswered about the optimal therapeutic strategy in fibrotic HP, which underlines the need to carry out large-scale studies.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doenças Pulmonares Intersticiais
/
Alveolite Alérgica Extrínseca
Tipo de estudo:
Diagnostic_studies
/
Guideline
/
Qualitative_research
Limite:
Humans
Idioma:
Fr
Revista:
Rev Mal Respir
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Bélgica