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A Randomized Trial of Itraconazole in Allergic Bronchopulmonary Aspergillosis
Ist Teil von
The New England journal of medicine, 2000-03, Vol.342 (11), p.756-762
Ort / Verlag
Boston, MA: Massachusetts Medical Society
Erscheinungsjahr
2000
Quelle
MEDLINE
Beschreibungen/Notizen
Allergic bronchopulmonary aspergillosis is a hypersensitivity disease of the lungs that is almost always caused by
Aspergillus fumigatus
(Table 1). Several sets of diagnostic criteria have been proposed,
2
–
4
incorporating the clinical, immunologic, and radiographic features of the disease, since no single test is sufficiently discriminating. Allergic bronchopulmonary aspergillosis is underdiagnosed; prospective studies indicate that 7 to 14 percent
5
of patients (or more
6
) with corticosteroid-dependent asthma meet the generally accepted definitions, as do 6 percent of patients with cystic fibrosis.
7
The disease can progress from the acute phase to stages characterized by exacerbations and corticosteroid dependency and finally to . . .