Hdl Handle:
http://hdl.handle.net/10147/209100
Title:
Fungal atopy in adult cystic fibrosis.
Authors:
Henry, M; Bennett, D M; Kiely, J; Kelleher, N; Bredin, C P
Affiliation:
Regional Adult Cystic Fibrosis Unit, Cork University Hospital, Ireland.
Citation:
Respir Med. 2000 Nov;94(11):1092-6.
Journal:
Respiratory medicine
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/209100
DOI:
10.1053/rmed.2000.0918
PubMed ID:
11127497
Abstract:
This study set out to estimate the prevalence of atopy to a variety of common ubiquitous fungi, including A. fumigatus, in cystic fibrosis (CF), and to evaluate the investigations by which the diagnosis was made. Particular attention was paid to the usefulness of skin testing and immunoassays in detecting which patients had simple fungal atopy, and which patients were at high risk of developing allergic bronchopulmonary mycoses. This cross-sectional study included 21 adult CF patients and 20 matched controls. Serum samples were taken for the measurement of total serum IgE and specific serum IgE to nine common fungi. Immediate hypersensitivity skin prick testing to each of the fungi was also performed. Simple fungal atopy was described in subjects fulfilling the following criteria: total serum IgE > 100 KU l(-1) with specific radioimmunoassay > or = grade 1 to at least one fungus and a positive skin prick test (SPT) > or = 3 mm to the same fungus. 'High risk' for developing allergic bronchopulmonary mycosis (ABPM) was described in subjects fulfilling the following criteria: total serum IgE > 200 KU l(-1) with specific radioimmunoassay > or = grade 2 to at least one fungus and a positive skin prick test (SPT) > or = 6 mm to the same fungus. The adult CF group had a significantly higher total SPT score (P=0.005) and mean total serum IgE (P<0.05) than controls. Forty-three percent of CF patients fulfilled the criteria for fungal atopy to at least a single fungus. Over half this group had an atopic tendency to more than one fungus. Nineteen percent of the CF group were at least 'high risk' of developing ABPM. Skin prick testing is a better marker of fungal atopy and a better predictor of those adult CF patients at higher risk of developing ABPM than specific radioimmunoassay serum testing. There is a high prevalence of fungal atopy in the adult CF population. Total serum IgE and skin prick testing are good predictors of fungal atopy and help predict those at risk of developing ABPM in CF.
Language:
eng
MeSH:
Adolescent; Adult; Antibodies, Fungal/*analysis; Aspergillosis, Allergic Bronchopulmonary/*diagnosis/etiology; Biological Markers; Cross-Sectional Studies; Cystic Fibrosis/*immunology/microbiology; Diagnosis, Differential; Female; Humans; Hypersensitivity, Immediate/*diagnosis; Immunoglobulin E/*analysis; Male; Skin Tests
ISSN:
0954-6111 (Print); 0954-6111 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorHenry, Men_GB
dc.contributor.authorBennett, D Men_GB
dc.contributor.authorKiely, Jen_GB
dc.contributor.authorKelleher, Nen_GB
dc.contributor.authorBredin, C Pen_GB
dc.date.accessioned2012-02-03T15:12:16Z-
dc.date.available2012-02-03T15:12:16Z-
dc.date.issued2012-02-03T15:12:16Z-
dc.identifier.citationRespir Med. 2000 Nov;94(11):1092-6.en_GB
dc.identifier.issn0954-6111 (Print)en_GB
dc.identifier.issn0954-6111 (Linking)en_GB
dc.identifier.pmid11127497en_GB
dc.identifier.doi10.1053/rmed.2000.0918en_GB
dc.identifier.urihttp://hdl.handle.net/10147/209100-
dc.description.abstractThis study set out to estimate the prevalence of atopy to a variety of common ubiquitous fungi, including A. fumigatus, in cystic fibrosis (CF), and to evaluate the investigations by which the diagnosis was made. Particular attention was paid to the usefulness of skin testing and immunoassays in detecting which patients had simple fungal atopy, and which patients were at high risk of developing allergic bronchopulmonary mycoses. This cross-sectional study included 21 adult CF patients and 20 matched controls. Serum samples were taken for the measurement of total serum IgE and specific serum IgE to nine common fungi. Immediate hypersensitivity skin prick testing to each of the fungi was also performed. Simple fungal atopy was described in subjects fulfilling the following criteria: total serum IgE > 100 KU l(-1) with specific radioimmunoassay > or = grade 1 to at least one fungus and a positive skin prick test (SPT) > or = 3 mm to the same fungus. 'High risk' for developing allergic bronchopulmonary mycosis (ABPM) was described in subjects fulfilling the following criteria: total serum IgE > 200 KU l(-1) with specific radioimmunoassay > or = grade 2 to at least one fungus and a positive skin prick test (SPT) > or = 6 mm to the same fungus. The adult CF group had a significantly higher total SPT score (P=0.005) and mean total serum IgE (P<0.05) than controls. Forty-three percent of CF patients fulfilled the criteria for fungal atopy to at least a single fungus. Over half this group had an atopic tendency to more than one fungus. Nineteen percent of the CF group were at least 'high risk' of developing ABPM. Skin prick testing is a better marker of fungal atopy and a better predictor of those adult CF patients at higher risk of developing ABPM than specific radioimmunoassay serum testing. There is a high prevalence of fungal atopy in the adult CF population. Total serum IgE and skin prick testing are good predictors of fungal atopy and help predict those at risk of developing ABPM in CF.en_GB
dc.language.isoengen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshAdulten_GB
dc.subject.meshAntibodies, Fungal/*analysisen_GB
dc.subject.meshAspergillosis, Allergic Bronchopulmonary/*diagnosis/etiologyen_GB
dc.subject.meshBiological Markersen_GB
dc.subject.meshCross-Sectional Studiesen_GB
dc.subject.meshCystic Fibrosis/*immunology/microbiologyen_GB
dc.subject.meshDiagnosis, Differentialen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshHypersensitivity, Immediate/*diagnosisen_GB
dc.subject.meshImmunoglobulin E/*analysisen_GB
dc.subject.meshMaleen_GB
dc.subject.meshSkin Testsen_GB
dc.titleFungal atopy in adult cystic fibrosis.en_GB
dc.contributor.departmentRegional Adult Cystic Fibrosis Unit, Cork University Hospital, Ireland.en_GB
dc.identifier.journalRespiratory medicineen_GB
dc.description.provinceMunster-
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