The Clinical Characteristics of Allergic Bronchopulmonary Mycosis Differ Among Pathogenic Fungi

Tomoya Harada; Genki Inui; Hiroki Ishikawa; Ryohei Kato; Yuriko Sueda; Yoshihiro Funaki; Miki Takata; Ryota Okazaki; Masato Morita; Shin Kitatani; Akira Yamasaki

doi:10.33160/yam.2023.05.016

Original Article

The Clinical Characteristics of Allergic Bronchopulmonary Mycosis Differ Among Pathogenic Fungi

Tomoya Harada, Genki Inui, Hiroki Ishikawa, Ryohei Kato, Yuriko Sueda, Yoshihiro Funaki, Miki Takata, Ryota Okazaki, Masato Morita, Shin Kitatani, Akira Yamasaki

Author information

Tomoya Harada
Division of Respiratory Medicine and Rheumatology, Faculty of Medicine, Tottori University, Yonago 683-8504, Japan and
Genki Inui
Division of Respiratory Medicine and Rheumatology, Faculty of Medicine, Tottori University, Yonago 683-8504, Japan and
Hiroki Ishikawa
Division of Respiratory Medicine and Rheumatology, Faculty of Medicine, Tottori University, Yonago 683-8504, Japan and
Ryohei Kato
Division of Respiratory Medicine and Rheumatology, Faculty of Medicine, Tottori University, Yonago 683-8504, Japan and
Yuriko Sueda
Division of Respiratory Medicine and Rheumatology, Faculty of Medicine, Tottori University, Yonago 683-8504, Japan and
Yoshihiro Funaki
Division of Respiratory Medicine and Rheumatology, Faculty of Medicine, Tottori University, Yonago 683-8504, Japan and
Miki Takata
Division of Respiratory Medicine and Rheumatology, Faculty of Medicine, Tottori University, Yonago 683-8504, Japan and
Ryota Okazaki
Division of Respiratory Medicine and Rheumatology, Faculty of Medicine, Tottori University, Yonago 683-8504, Japan and
Masato Morita
Division of Respiratory Medicine and Rheumatology, Faculty of Medicine, Tottori University, Yonago 683-8504, Japan and
Shin Kitatani
Department of Respirology, Tottori Prefectural Kousei Hospital, Kurayoshi 682-0804, Japan
Akira Yamasaki
Division of Respiratory Medicine and Rheumatology, Faculty of Medicine, Tottori University, Yonago 683-8504, Japan and

Keywords: allergic bronchopulmonary aspergillosis, allergic bronchopulmonary mycosis, characteristics, fungus, recurrence

JOURNAL FREE ACCESS

2023 Volume 66 Issue 2 Pages 257-262

DOI https://doi.org/10.33160/yam.2023.05.016

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Abstract

Background Allergic bronchopulmonary mycosis (ABPM) occurs with fungi, other than Aspergillus fumigatus. However, the clinical characteristics of ABPM caused by non-Aspergillus species are unspecified.

Methods We retrospectively reviewed all patients with ABPM who visited to our hospital between April 2005 and December 2020. The causative fungi and clinical characteristics were analyzed. Patients were divided into the Aspergillus group and the non-Aspergillus group.

Results Fourteen patients and five patients were included in the Aspergillus group and the non-Aspergillus group, respectively. Compared to the Aspergillus group, the non-Aspergillus group had a significantly low serum immunoglobulin E level and low forced vital capacity. In addition, the non-Aspergillus group had a lower rate of the requirement for oral corticosteroid treatment and a low frequency of recurrence.

Conclusion Patients with non-Aspergillus ABPM had lower type 2 inflammation than did patients with allergic bronchopulmonary aspergillosis.

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