TY  - JOUR
TI  - The adequacy of current diagnostic criteria for
making a diagnosis of ABPA
AB  - Introduction: Currently, there are four different diagnostic criteria systems for
allergic bronchopulmonary aspergillosis (ABPA): The Rosenberg-Patterson,
Seropositive ABPA (ABPA-S), Central Bronchiectasis and ABPA (ABPA-CB),
and the International Society for Human and Animal Mycology (ISHAM)
ABPA study group criteria. This study aims to retrospectively compare these
four diagnostic criteria in ABPA patients.
Materials and Methods: Patients who were followed up with the diagnosis of
ABPA were retrospectively re-evaluated using these four diagnostic criteria,
and the superiority of these criteria to each other was determined.
Results: A total of 10 ABPA patients were included in the study. Seven patients
were diagnosed according to ISHAM ABPA study group diagnostic criteria
and six patients according to the Rosenberg-Patterson diagnostic criteria.
None of the patients fulfilled the criteria when evaluated individually with
ABPA-S and ABPA-CB. Of patients diagnosed by ISHAM, five had a total IgE
level above 1000 IU/mL and two had below 1000 IU/mL.
Conclusion: We demonstrated that the diagnostic criteria developed by the
ISHAM ABPA study group were superior to the others in diagnosing ABPA in
cases with a total IgE level above 1000 IU/mL. However, all these criteria seem
to be sufficient to diagnose ABPA in patients with a total IgE below
1000 IU/mL. We believe the necessity to demonstrate presence of Aspergillus
fumigatus precipitating antibodies or specific IgG positivity should be questioned
particularly in patients with radiologic findings compatible with ABPA
and a total IgE level below 1000 IU/mL.
AU  - ÇETİN, gülden
AU  - Yilmaz, Insu
AU  - Türk, Murat
AU  - nazik bahçecioğlu, sakine
DO  - 10.5578/tt.20229804
PY  - 2022
JO  - Tüberküloz ve Toraks
VL  - 70
IS  - 2
SN  - 0494-1373
SP  - 141
EP  - 148
DB  - TRDizin
UR  - http://search/yayin/detay/531228
ER  -