علاج رئة مربي الطيور في التهاب الرئة التحسسي مع مظاهر الالتهاب

DOI: 10.1111/resp.14847

• Recently published international diagnostic guidelines recommend HP classification into fibrotic or nonfibrotic phenotypes based on the presence or absence of radiological and/or histopathological fibrosis, supported by the observation that pulmonary fibrosis conveys important prognostic and treatment implications.
• Moderate-to-high dose systemic corticosteroids would usually be considered for HP patients with features of inflammation (e.g., GGO on HRCT, BAL lymphocytosis, well-documented exposure with acute or sub-acute symptom onset).
• The initial step in the management of HP is identification and avoidance of active causative exposures.
• Examples include a change in role or location for workplace exposures, and complete removal of birds, feathers and droppings, as well as a deep clean of soft furnishings for avian-associated HP.
• Ongoing exposure is associated with further lung function decline, and removal of exposure may result in improvement.