Your browser doesn't support javascript.
loading
Allergic bronchopulmonary mycosis in patients with asthma: period prevalence at a university hospital in Saudi Arabia.
Al-Mobeireek, A F; Al-Hedaithy, S S; Alasali, K; Al-Majed, S; Joharjy, I.
Afiliação
  • Al-Mobeireek AF; Department of Medicine, College of Medicine, King Saud University Hospital, Riyadh, Saudi Arabia. mobeireek@yahoo.com
Respir Med ; 95(5): 341-7, 2001 May.
Article em En | MEDLINE | ID: mdl-11392574
Allergic bronchopulmonary mycosis (ABPM) is a known complication of asthma and can result in progressive lung damage, respiratory failure and death. Asthma is a common disease in Saudi Arabia and until now the prevalence of ABPM has not been investigated. The aim of this study was to estimate the period prevalence of ABPM due to Aspergillus and Candida in patients with asthma. The setting was an outpatient pulmonary clinic at a university hospital in the central region of Saudi Arabia. Two hundred and sixty-four consecutive patients with asthma (150 or 57% females) were evaluated. All patients were screened for ABPM with skin prick test (SPT) using a panel of fungal antigens. Those with positive skin reactions had further clinical, immunological, respiratory and radiological assessment. ABPM was diagnosed by the presence of a minimum of five of the major criteria suggested by Rosenberg in 1977. Of the 264 patients, 62 (23%) had a positive SPT for at least one fungal allergen, of whom 44 (71%) were females (P=0.01). Seven patients (six females) were diagnosed with ABPM due to Aspergillus and (or) Candida species. Therefore, we estimate the period prevalence of ABPM to be 2.7% (95% confidence interval 1.3-5.4%). A. niger was the commonest fungal species isolated in our group. In conclusion, ABPM is not uncommon in Saudi Arabia and females seem to be more at risk. Because asthma is common, physicians need to have high index of suspicion for this disease and pursue the diagnosis with the appropriate tests.
Assuntos
Buscar no Google
Base de dados: MEDLINE Assunto principal: Aspergilose Broncopulmonar Alérgica / Asma / Candidíase / Pneumopatias Fúngicas Tipo de estudo: Diagnostic_studies / Etiology_studies / Prevalence_studies Limite: Adolescent / Adult / Aged / Aged80 / Child / Female / Humans / Male / Middle aged País como assunto: Asia Idioma: En Ano de publicação: 2001 Tipo de documento: Article
Buscar no Google
Base de dados: MEDLINE Assunto principal: Aspergilose Broncopulmonar Alérgica / Asma / Candidíase / Pneumopatias Fúngicas Tipo de estudo: Diagnostic_studies / Etiology_studies / Prevalence_studies Limite: Adolescent / Adult / Aged / Aged80 / Child / Female / Humans / Male / Middle aged País como assunto: Asia Idioma: En Ano de publicação: 2001 Tipo de documento: Article