Prevalence and diagnosis of allergic bronchopulmonary aspergillosis: a systematic review

Emad Abdulrahman Nasser Hadal; Mohammad Helail Almutairi; Abdullah Talal Almutairi; Turki Rashieed Alrumayh; Deafalah Abdulrahman N. Hadal; Naif Essam T. Alotishan

doi:10.24911/IJMDC.51-1672401472

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Online Publishing Date:
24 / 02 / 2023

IJMDC. 2023; 7(6): 921-929

doi: 10.24911/IJMDC.51-1672401472

Prevalence and diagnosis of allergic bronchopulmonary aspergillosis: a systematic review

Emad Abdulrahman Nasser Hadal, Mohammad Helail Almutairi, Abdullah Talal Almutairi, Turki Rashieed Alrumayh, Deafalah Abdulrahman N. Hadal, Naif Essam T. Alotishan.

Abstract
Background: Allergic bronchopulmonary aspergillosis (ABPA), a chronic fungal allergic lung condition, is a common side effect of asthma or cystic fibrosis (CF). The majority of patients affected by Aspergillus species, notably Aspergillus fumigatus, experience allergic respiratory symptoms. Aspergillus-induced lung illness and maladaptive immune responses range from developing essential fungal asthma to severe asthma with fungal sensitization to ABPA. The estimated ABPA prevalence in CF patients varied from 3% to 25% in adults and 8% to 10% in children, for an overall prevalence of 8.9%.
Aim: To evaluate the current literature on the prevalence and diagnosis of allergic ABPA.
Methods: Studies related to our subject were explored using PubMed and Google Scholar databases. The keywords included were “Respiratory allergy, bronchopulmonary aspergillus, allergic bronchopulmonary aspergillosis, prevalence, and diagnosis” and were used in various combinations. The inclusion criteria were original studies that reported ABPA and full articles.
Results: A total of 200 articles were obtained, but only 9 articles were eligible for the inclusion criteria. The detailed studies were conducted on 929 participants, 8 of them were cross-sectional studies, and only 1 was a prospective longitudinal study.
Conclusion: Our study showed that ABPA has a moderate prevalence among patients with asthma and CF. No risk factors were found for ABPA other than the appearance of brownish sputum in children with ABPA. The clinical manifestations of ABPA were a late start, decreased blood immunoglobulin E levels, and frequent recurrences/ flares. Several diagnostic biomarkers were shown to be effective in the diagnosis of ABPA, including basophil CD203c upregulation and Thymus and activation-regulated chemokine.

Key words: Respiratory allergy, bronchopulmonary aspergillus, allergic bronchopulmonary aspergillosis, prevalence, and diagnosis.

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How to Cite this Article

Pubmed Style

Hadal EAN, Almutairi MH, Almutairi AT, Alrumayh TR, Hadal DAN, Alotishan NET. Prevalence and diagnosis of allergic bronchopulmonary aspergillosis: a systematic review. IJMDC. 2023; 7(6): 921-929. doi:10.24911/IJMDC.51-1672401472

Web Style

Hadal EAN, Almutairi MH, Almutairi AT, Alrumayh TR, Hadal DAN, Alotishan NET. Prevalence and diagnosis of allergic bronchopulmonary aspergillosis: a systematic review. https://www.ijmdc.com/?mno=135241 [Access: March 28, 2024]. doi:10.24911/IJMDC.51-1672401472

AMA (American Medical Association) Style

Hadal EAN, Almutairi MH, Almutairi AT, Alrumayh TR, Hadal DAN, Alotishan NET. Prevalence and diagnosis of allergic bronchopulmonary aspergillosis: a systematic review. IJMDC. 2023; 7(6): 921-929. doi:10.24911/IJMDC.51-1672401472

Vancouver/ICMJE Style

Hadal EAN, Almutairi MH, Almutairi AT, Alrumayh TR, Hadal DAN, Alotishan NET. Prevalence and diagnosis of allergic bronchopulmonary aspergillosis: a systematic review. IJMDC. (2023), [cited March 28, 2024]; 7(6): 921-929. doi:10.24911/IJMDC.51-1672401472

Harvard Style

Hadal, E. A. N., Almutairi, . M. H., Almutairi, . A. T., Alrumayh, . T. R., Hadal, . D. A. N. & Alotishan, . N. E. T. (2023) Prevalence and diagnosis of allergic bronchopulmonary aspergillosis: a systematic review. IJMDC, 7 (6), 921-929. doi:10.24911/IJMDC.51-1672401472

Turabian Style

Hadal, Emad Abdulrahman Nasser, Mohammad Helail Almutairi, Abdullah Talal Almutairi, Turki Rashieed Alrumayh, Deafalah Abdulrahman N. Hadal, and Naif Essam T. Alotishan. 2023. Prevalence and diagnosis of allergic bronchopulmonary aspergillosis: a systematic review. International Journal of Medicine in Developing Countries, 7 (6), 921-929. doi:10.24911/IJMDC.51-1672401472

Chicago Style

Hadal, Emad Abdulrahman Nasser, Mohammad Helail Almutairi, Abdullah Talal Almutairi, Turki Rashieed Alrumayh, Deafalah Abdulrahman N. Hadal, and Naif Essam T. Alotishan. "Prevalence and diagnosis of allergic bronchopulmonary aspergillosis: a systematic review." International Journal of Medicine in Developing Countries 7 (2023), 921-929. doi:10.24911/IJMDC.51-1672401472

MLA (The Modern Language Association) Style

APA (American Psychological Association) Style

Hadal, E. A. N., Almutairi, . M. H., Almutairi, . A. T., Alrumayh, . T. R., Hadal, . D. A. N. & Alotishan, . N. E. T. (2023) Prevalence and diagnosis of allergic bronchopulmonary aspergillosis: a systematic review. International Journal of Medicine in Developing Countries, 7 (6), 921-929. doi:10.24911/IJMDC.51-1672401472

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