Aspergillosis diagnostic criteria: Difference between revisions
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{{Aspergillosis}} | {{Aspergillosis}} | ||
{{CMG}} | {{CMG}} {{AE}} {{HL}}; {{YD}}; {{SSK}} | ||
==Overview== | ==Overview== | ||
Diagnostic criteria are available for allergic bronchopulmonary aspergillosis and for allergic fungal rhinosinusitis. Major and minor diagnostic criteria are based on clinical, laboratory, and radiological findings. | |||
==Diagnostic Criteria== | ==Diagnostic Criteria== | ||
===Allergic Bronchopulmonary Aspergillosis=== | |||
The following table shows the diagnostic criteria for allergic bronchopulmonary aspergillosis: | |||
{| {{table}} cellpadding="4" cellspacing="0" style="border:#c9c9c9 1px solid; margin: 1em 1em 1em 0; border-collapse: collapse;" | |||
| align="center" style="background:#f0f0f0;" |'''Major''' | |||
| align="center" style="background:#f0f0f0;" |'''Minor''' | |||
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*[[Asthma]] | |||
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*Presence of Aspergillus in [[sputum]] | |||
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*[[Roentgenographic fleeting pulmonary opacities]] | |||
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*Expectoration of brownish black [[mucus]] plugs | |||
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*[[Skin]] test positive for [[Aspergillus]] | |||
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*Delayed [[skin]] reaction to [[Aspergillus]] [[antigen]] | |||
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*[[Eosinophilia]] | |||
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*[[IgE]] in s[[e]]rum elevated (> 500 IU/mL)- revised 2024 criteria | |||
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*Central [[bronchiectasis]] | |||
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*Serums A fumigatus-specific [[IgG]] and [[IgE]] | |||
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*Precipitating [[antibodies]] (IgG) in serum | |||
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===Allergic Fungal Rhinosinusitis=== | ===Allergic Fungal Rhinosinusitis=== | ||
The following table shows the 1994 Bent and Kuhn diagnostic criteria for allergic fungal rhinosinusitis: | The following table shows the 1994 Bent and Kuhn diagnostic criteria for allergic fungal rhinosinusitis: | ||
{| {{table}} | {| {{table}} cellpadding="4" cellspacing="0" style="border:#c9c9c9 1px solid; margin: 1em 1em 1em 0; border-collapse: collapse;" | ||
| align="center" style="background:#f0f0f0;"|'''Major''' | | align="center" style="background:#f0f0f0;" |'''Major''' | ||
| align="center" style="background:#f0f0f0;"|'''Minor''' | | align="center" style="background:#f0f0f0;" |'''Minor''' | ||
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Latest revision as of 00:46, 24 June 2024
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Haytham Allaham, M.D. [2]; Yazan Daaboul, M.D.; Serge Korjian M.D.
Overview
Diagnostic criteria are available for allergic bronchopulmonary aspergillosis and for allergic fungal rhinosinusitis. Major and minor diagnostic criteria are based on clinical, laboratory, and radiological findings.
Diagnostic Criteria
Allergic Bronchopulmonary Aspergillosis
The following table shows the diagnostic criteria for allergic bronchopulmonary aspergillosis:
| Major | Minor |
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Allergic Fungal Rhinosinusitis
The following table shows the 1994 Bent and Kuhn diagnostic criteria for allergic fungal rhinosinusitis:
| Major | Minor |
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Table adapted from Bent JP 3rd, Kuhn FA. Diagnosis of allergic fungal sinusitis. Otolaryngol Head Neck Surg.1994 111(5):580-8[1]
- To make the diagnosis of allergic fungal rhinosinusitis, patients must meet ALL the major criteria.
- Minor criteria may support the diagnosis, but they are not considered diagnostic.
References
- ↑ Bent JP, Kuhn FA (1994). "Diagnosis of allergic fungal sinusitis". Otolaryngol Head Neck Surg. 111 (5): 580–8. PMID 7970796.