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Hypersensitivity Pneumonitis

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Absolute Allergy and Immunology Board Review

Abstract

Hypersensitivity pneumonitis (HP) is an immune-mediated syndrome involving both humoral and cellular mechanisms where a susceptible individual develops an exaggerated pulmonary inflammatory response when exposed to certain antigens small enough to enter the alveoli. In this chapter, we will discuss various forms of HP detailing clinical presentation, pathophysiology, and management for each subtype.

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Abbreviations

AEP:

Acute eosinophilic pneumonia

ANA:

Antinuclear antibody

ANCA:

Antineutrophilic cytoplasmic antibody

ARDS:

Acute respiratory distress syndrome

BAL:

Bronchoalveolar lavage

CBC:

Complete blood count

CEP:

Chronic eosinophilic pneumonia

CXR:

Chest radiograph

EGPA:

Eosinophilic granulomatosis and polyangiitis

HP:

Hypersensitivity pneumonitis

HR:

Heart rate

HRCT:

High resolution computed tomography

IgE:

Immunoglobulin E

IgG:

Immunoglobulin G

IL:

Interleukin

ILD:

Interstitial lung disease

IPF:

Idiopathic pulmonary fibrosis

MPO:

Myeloperoxidase antibody

MUC5B:

Mucin 5b

NTM:

Nontuberculous mycobacterium

OSA:

Obstructive sleep apnea

Th1:

T helper cell type 1

Th17:

T helper cell type 17

Th2:

T helper cell type 2

UIP:

Usual interstitial pneumonia

Bibliography

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Correspondence to Ria Gripaldo .

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Gripaldo, R., Wynn, A.T. (2022). Hypersensitivity Pneumonitis. In: Mahmoudi, M. (eds) Absolute Allergy and Immunology Board Review. Springer, Cham. https://doi.org/10.1007/978-3-031-12867-7_9

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  • DOI: https://doi.org/10.1007/978-3-031-12867-7_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-12866-0

  • Online ISBN: 978-3-031-12867-7

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