Diagnosis and management of hypersensitivity pneumonitis in adults: a position statement from the Thoracic Society of Australia and New Zealand

Hayley Barnes; Tamera J. Corte; Gregory Keir; Yet H. Khor; Sandhya Limaye; Jeremy P. Wrobel; Elizabeth Veitch; John Harrington; Leona Dowman; Lutz Beckert; David Milne; Rebekah De Losa; Wendy A. Cooper; Peter T. Bell; Pradeep Balakrishnan; Lauren K. Troy

doi:10.1111/resp.14847

Diagnosis and management of hypersensitivity pneumonitis in adults: a position statement from the Thoracic Society of Australia and New Zealand

Hayley Barnes, Tamera J. Corte, Gregory Keir, Yet H. Khor, Sandhya Limaye, Jeremy P. Wrobel, Elizabeth Veitch, John Harrington, Leona Dowman, Lutz Beckert, David Milne, Rebekah De Losa, Wendy A. Cooper, Peter T. Bell, Pradeep Balakrishnan, Lauren K. Troy^*

^*Corresponding author for this work

Faculty of Medicine, Health and Human Sciences

Research output: Contribution to journal › Article › peer-review

3 Citations (Scopus)

145 Downloads (Pure)

Abstract

Hypersensitivity pneumonitis (HP) is an immune-mediated interstitial lung disease (ILD) relating to specific occupational, environmental or medication exposures. Disease behaviour is influenced by the nature of exposure and the host response, with varying degrees of lung inflammation and fibrosis seen within individuals. The differentiation of HP from other ILDs is important due to distinct causes, pathophysiology, prognosis and management implications. This Thoracic Society of Australia and New Zealand (TSANZ) position statement aims to provide an up-to-date summary of the evidence for clinicians relating to the diagnosis and management of HP in adults, in the Australian and New Zealand context. This document highlights recent relevant findings and gaps in the literature for which further research is required.

Original language	English
Pages (from-to)	1023-1046
Number of pages	24
Journal	Respirology
Volume	29
Issue number	12
DOIs	https://doi.org/10.1111/resp.14847
Publication status	Published - Dec 2024

Bibliographical note

Copyright the Author(s) 2024. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

clinical respiratory medicine
environmental and occupational health and epidemiology
hypersensitivity pneumonitis
inflammation
interstitial lung disease
pulmonary fibrosis

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10.1111/resp.14847Licence: CC BY-NC

Publisher version (open access)Final published version, 4.51 MBLicence: CC BY-NC

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Barnes, H., Corte, T. J., Keir, G., Khor, Y. H., Limaye, S., Wrobel, J. P., Veitch, E., Harrington, J., Dowman, L., Beckert, L., Milne, D., De Losa, R., Cooper, W. A., Bell, P. T., Balakrishnan, P., & Troy, L. K. (2024). Diagnosis and management of hypersensitivity pneumonitis in adults: a position statement from the Thoracic Society of Australia and New Zealand. Respirology, 29(12), 1023-1046. https://doi.org/10.1111/resp.14847

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title = "Diagnosis and management of hypersensitivity pneumonitis in adults: a position statement from the Thoracic Society of Australia and New Zealand",

abstract = "Hypersensitivity pneumonitis (HP) is an immune-mediated interstitial lung disease (ILD) relating to specific occupational, environmental or medication exposures. Disease behaviour is influenced by the nature of exposure and the host response, with varying degrees of lung inflammation and fibrosis seen within individuals. The differentiation of HP from other ILDs is important due to distinct causes, pathophysiology, prognosis and management implications. This Thoracic Society of Australia and New Zealand (TSANZ) position statement aims to provide an up-to-date summary of the evidence for clinicians relating to the diagnosis and management of HP in adults, in the Australian and New Zealand context. This document highlights recent relevant findings and gaps in the literature for which further research is required.",

keywords = "clinical respiratory medicine, environmental and occupational health and epidemiology, hypersensitivity pneumonitis, inflammation, interstitial lung disease, pulmonary fibrosis",

author = "Hayley Barnes and Corte, \{Tamera J.\} and Gregory Keir and Khor, \{Yet H.\} and Sandhya Limaye and Wrobel, \{Jeremy P.\} and Elizabeth Veitch and John Harrington and Leona Dowman and Lutz Beckert and David Milne and \{De Losa\}, Rebekah and Cooper, \{Wendy A.\} and Bell, \{Peter T.\} and Pradeep Balakrishnan and Troy, \{Lauren K.\}",

note = "Copyright the Author(s) 2024. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.",

year = "2024",

month = dec,

doi = "10.1111/resp.14847",

language = "English",

volume = "29",

pages = "1023--1046",

journal = "Respirology",

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Barnes, H, Corte, TJ, Keir, G, Khor, YH, Limaye, S, Wrobel, JP, Veitch, E, Harrington, J, Dowman, L, Beckert, L, Milne, D, De Losa, R, Cooper, WA, Bell, PT, Balakrishnan, P & Troy, LK 2024, 'Diagnosis and management of hypersensitivity pneumonitis in adults: a position statement from the Thoracic Society of Australia and New Zealand', Respirology, vol. 29, no. 12, pp. 1023-1046. https://doi.org/10.1111/resp.14847

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AU - Corte, Tamera J.

AU - Keir, Gregory

AU - Khor, Yet H.

AU - Limaye, Sandhya

AU - Wrobel, Jeremy P.

AU - Veitch, Elizabeth

AU - Harrington, John

AU - Dowman, Leona

AU - Beckert, Lutz

AU - Milne, David

AU - De Losa, Rebekah

AU - Cooper, Wendy A.

AU - Bell, Peter T.

AU - Balakrishnan, Pradeep

AU - Troy, Lauren K.

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PY - 2024/12

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N2 - Hypersensitivity pneumonitis (HP) is an immune-mediated interstitial lung disease (ILD) relating to specific occupational, environmental or medication exposures. Disease behaviour is influenced by the nature of exposure and the host response, with varying degrees of lung inflammation and fibrosis seen within individuals. The differentiation of HP from other ILDs is important due to distinct causes, pathophysiology, prognosis and management implications. This Thoracic Society of Australia and New Zealand (TSANZ) position statement aims to provide an up-to-date summary of the evidence for clinicians relating to the diagnosis and management of HP in adults, in the Australian and New Zealand context. This document highlights recent relevant findings and gaps in the literature for which further research is required.

AB - Hypersensitivity pneumonitis (HP) is an immune-mediated interstitial lung disease (ILD) relating to specific occupational, environmental or medication exposures. Disease behaviour is influenced by the nature of exposure and the host response, with varying degrees of lung inflammation and fibrosis seen within individuals. The differentiation of HP from other ILDs is important due to distinct causes, pathophysiology, prognosis and management implications. This Thoracic Society of Australia and New Zealand (TSANZ) position statement aims to provide an up-to-date summary of the evidence for clinicians relating to the diagnosis and management of HP in adults, in the Australian and New Zealand context. This document highlights recent relevant findings and gaps in the literature for which further research is required.

KW - clinical respiratory medicine

KW - environmental and occupational health and epidemiology

KW - hypersensitivity pneumonitis

KW - inflammation

KW - interstitial lung disease

KW - pulmonary fibrosis

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JF - Respirology

IS - 12

ER -

Diagnosis and management of hypersensitivity pneumonitis in adults: a position statement from the Thoracic Society of Australia and New Zealand

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