Titre : Aspergillose bronchopulmonaire allergique

Aspergillose bronchopulmonaire allergique : Questions médicales fréquentes

{ "@context": "https://schema.org", "@graph": [ { "@type": "MedicalWebPage", "name": "Aspergillose bronchopulmonaire allergique : Questions médicales les plus fréquentes", "headline": "Aspergillose bronchopulmonaire allergique : Comprendre les symptômes, diagnostics et traitements", "description": "Guide complet et accessible sur les Aspergillose bronchopulmonaire allergique : explications, diagnostics, traitements et prévention. Information médicale validée destinée aux patients.", "datePublished": "2024-04-21", "dateModified": "2025-04-16", "inLanguage": "fr", "medicalAudience": [ { "@type": "MedicalAudience", "name": "Grand public", "audienceType": "Patient", "healthCondition": { "@type": "MedicalCondition", "name": "Aspergillose bronchopulmonaire allergique" }, "suggestedMinAge": 18, "suggestedGender": "unisex" }, { "@type": "MedicalAudience", "name": "Médecins", "audienceType": "Physician", "geographicArea": { "@type": "AdministrativeArea", "name": "France" } }, { "@type": "MedicalAudience", "name": "Chercheurs", "audienceType": "Researcher", "geographicArea": { "@type": "AdministrativeArea", "name": "International" } } ], "reviewedBy": { "@type": "Person", "name": "Dr Olivier Menir", "jobTitle": "Expert en Médecine", "description": "Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale", "url": "/static/pages/docteur-olivier-menir.html", "alumniOf": { "@type": "EducationalOrganization", "name": "Université Paris Descartes" } }, "isPartOf": { "@type": "MedicalWebPage", "name": "Hypersensibilité respiratoire", "url": "https://questionsmedicales.fr/mesh/D012130", "about": { "@type": "MedicalCondition", "name": "Hypersensibilité respiratoire", "code": { "@type": "MedicalCode", "code": "D012130", "codingSystem": "MeSH" }, "identifier": { "@type": "PropertyValue", "propertyID": "MeSH Tree", "value": "C20.543.480.680" } } }, "about": { "@type": "MedicalCondition", "name": "Aspergillose bronchopulmonaire allergique", "alternateName": "Aspergillosis, Allergic Bronchopulmonary", "code": { "@type": "MedicalCode", "code": "D001229", "codingSystem": "MeSH" } }, "author": [ { "@type": "Person", "name": "Ritesh Agarwal", "url": "https://questionsmedicales.fr/author/Ritesh%20Agarwal", "affiliation": { "@type": "Organization", "name": "Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Sector-12, Chandigarh 160012, India. Electronic address: agarwal.ritesh@outlook.in." } }, { "@type": "Person", "name": "Valliappan Muthu", "url": "https://questionsmedicales.fr/author/Valliappan%20Muthu", "affiliation": { "@type": "Organization", "name": "Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Sector-12, Chandigarh 160012, India." } }, { "@type": "Person", "name": "Sahajal Dhooria", "url": "https://questionsmedicales.fr/author/Sahajal%20Dhooria", "affiliation": { "@type": "Organization", "name": "Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Sector-12, Chandigarh 160012, India." } }, { "@type": "Person", "name": "Arunaloke Chakrabarti", "url": "https://questionsmedicales.fr/author/Arunaloke%20Chakrabarti", "affiliation": { "@type": "Organization", "name": "Department of Medical Microbiology, Postgraduate Institute of Medical Education & Research, Chandigarh, India." } }, { "@type": "Person", "name": "Inderpaul Singh Sehgal", "url": "https://questionsmedicales.fr/author/Inderpaul%20Singh%20Sehgal", "affiliation": { "@type": "Organization", "name": "Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India." } } ], "citation": [ { "@type": "ScholarlyArticle", "name": "Iatrogenic Cushing's syndrome in a case of allergic bronchopulmonary aspergillosis treated with oral itraconazole and inhaled budesonide.", "datePublished": "2023-10-09", "url": "https://questionsmedicales.fr/article/37813554", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1136/bcr-2023-256788" } }, { "@type": "ScholarlyArticle", "name": "Long-term follow-up of allergic bronchopulmonary aspergillosis treated with glucocorticoids: A study of 182 subjects.", "datePublished": "2023-08-09", "url": "https://questionsmedicales.fr/article/37555291", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1111/myc.13640" } }, { "@type": "ScholarlyArticle", "name": "Prevalence of Aspergillus Sensitization and Allergic Bronchopulmonary Aspergillosis in Adults With Bronchial Asthma: A Systematic Review of Global Data.", "datePublished": "2023-04-23", "url": "https://questionsmedicales.fr/article/37088374", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1016/j.jaip.2023.04.009" } }, { "@type": "ScholarlyArticle", "name": "Frequencies of pathogenic CFTR variants in Greek cystic fibrosis patients with allergic bronchopulmonary aspergillosis and Aspergillus fumigatus chronic colonization: A retrospective cohort study.", "datePublished": "2022-08-07", "url": "https://questionsmedicales.fr/article/36272381", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1016/j.mycmed.2022.101326" } }, { "@type": "ScholarlyArticle", "name": "Tezepelumab treatment for allergic bronchopulmonary aspergillosis.", "datePublished": "2023-04-17", "url": "https://questionsmedicales.fr/article/37082171", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1002/rcr2.1147" } } ], "breadcrumb": { "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "questionsmedicales.fr", "item": "https://questionsmedicales.fr" }, { "@type": "ListItem", "position": 2, "name": "Maladies du système immunitaire", "item": "https://questionsmedicales.fr/mesh/D007154" }, { "@type": "ListItem", "position": 3, "name": "Hypersensibilité", "item": "https://questionsmedicales.fr/mesh/D006967" }, { "@type": "ListItem", "position": 4, "name": "Hypersensibilité immédiate", "item": "https://questionsmedicales.fr/mesh/D006969" }, { "@type": "ListItem", "position": 5, "name": "Hypersensibilité respiratoire", "item": "https://questionsmedicales.fr/mesh/D012130" }, { "@type": "ListItem", "position": 6, "name": "Aspergillose bronchopulmonaire allergique", "item": "https://questionsmedicales.fr/mesh/D001229" } ] } }, { "@type": "MedicalWebPage", "name": "Article complet : Aspergillose bronchopulmonaire allergique - Questions et réponses", "headline": "Questions et réponses médicales fréquentes sur Aspergillose bronchopulmonaire allergique", "description": "Une compilation de questions et réponses structurées, validées par des experts médicaux.", "datePublished": "2025-04-30", "inLanguage": "fr", "hasPart": [ { "@type": "MedicalWebPage", "name": "Diagnostic", "headline": "Diagnostic sur Aspergillose bronchopulmonaire allergique", "description": "Comment diagnostiquer l'aspergillose bronchopulmonaire allergique ?\nQuels tests sont utilisés pour le diagnostic ?\nLes symptômes sont-ils suffisants pour le diagnostic ?\nQuel rôle joue la culture de mucus dans le diagnostic ?\nLes antécédents médicaux sont-ils importants ?", "url": "https://questionsmedicales.fr/mesh/D001229?page=3#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Aspergillose bronchopulmonaire allergique", "description": "Quels sont les symptômes courants de cette maladie ?\nLa fièvre est-elle un symptôme fréquent ?\nY a-t-il des symptômes spécifiques chez les asthmatiques ?\nLes symptômes peuvent-ils varier d'une personne à l'autre ?\nPeut-on avoir des symptômes sans infection active ?", "url": "https://questionsmedicales.fr/mesh/D001229?page=3#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Aspergillose bronchopulmonaire allergique", "description": "Comment prévenir l'aspergillose bronchopulmonaire allergique ?\nLes personnes allergiques doivent-elles prendre des précautions ?\nLe port de masques est-il recommandé ?\nL'humidité intérieure joue-t-elle un rôle ?\nLes traitements préventifs sont-ils disponibles ?", "url": "https://questionsmedicales.fr/mesh/D001229?page=3#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Aspergillose bronchopulmonaire allergique", "description": "Quels traitements sont disponibles pour cette condition ?\nLes corticostéroïdes sont-ils efficaces ?\nQuand utilise-t-on des antifongiques ?\nLes bronchodilatateurs sont-ils nécessaires ?\nY a-t-il des traitements alternatifs ?", "url": "https://questionsmedicales.fr/mesh/D001229?page=3#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Aspergillose bronchopulmonaire allergique", "description": "Quelles complications peuvent survenir ?\nLes bronchiectasies sont-elles une complication fréquente ?\nL'insuffisance respiratoire est-elle possible ?\nLes complications peuvent-elles être évitées ?\nY a-t-il un risque de mortalité ?", "url": "https://questionsmedicales.fr/mesh/D001229?page=3#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Aspergillose bronchopulmonaire allergique", "description": "Quels sont les principaux facteurs de risque ?\nLa fibrose kystique augmente-t-elle le risque ?\nLes personnes âgées sont-elles plus à risque ?\nL'exposition professionnelle joue-t-elle un rôle ?\nLes antécédents d'allergies augmentent-ils le risque ?", "url": "https://questionsmedicales.fr/mesh/D001229?page=3#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer l'aspergillose bronchopulmonaire allergique ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Le diagnostic repose sur l'historique médical, les tests d'allergie et les examens d'imagerie." } }, { "@type": "Question", "name": "Quels tests sont utilisés pour le diagnostic ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Les tests incluent des tests cutanés, des dosages d'IgE spécifiques et des radiographies thoraciques." } }, { "@type": "Question", "name": "Les symptômes sont-ils suffisants pour le diagnostic ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Non, les symptômes doivent être corroborés par des tests spécifiques pour un diagnostic précis." } }, { "@type": "Question", "name": "Quel rôle joue la culture de mucus dans le diagnostic ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "La culture de mucus peut aider à identifier la présence d'Aspergillus dans les voies respiratoires." } }, { "@type": "Question", "name": "Les antécédents médicaux sont-ils importants ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les antécédents d'allergies ou d'asthme sont cruciaux pour le diagnostic." } }, { "@type": "Question", "name": "Quels sont les symptômes courants de cette maladie ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent toux, essoufflement, fièvre et production de mucus coloré." } }, { "@type": "Question", "name": "La fièvre est-elle un symptôme fréquent ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Oui, la fièvre peut survenir, surtout lors d'une exacerbation des symptômes." } }, { "@type": "Question", "name": "Y a-t-il des symptômes spécifiques chez les asthmatiques ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Les asthmatiques peuvent éprouver une aggravation de l'asthme et des crises plus fréquentes." } }, { "@type": "Question", "name": "Les symptômes peuvent-ils varier d'une personne à l'autre ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Oui, l'intensité et la nature des symptômes peuvent varier selon les individus." } }, { "@type": "Question", "name": "Peut-on avoir des symptômes sans infection active ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des symptômes allergiques peuvent survenir sans infection fongique active." } }, { "@type": "Question", "name": "Comment prévenir l'aspergillose bronchopulmonaire allergique ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Éviter l'exposition aux spores d'Aspergillus et maintenir un environnement propre." } }, { "@type": "Question", "name": "Les personnes allergiques doivent-elles prendre des précautions ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Oui, elles doivent éviter les zones à forte concentration de spores, comme les chantiers de construction." } }, { "@type": "Question", "name": "Le port de masques est-il recommandé ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Oui, porter un masque peut réduire l'exposition aux spores dans des environnements à risque." } }, { "@type": "Question", "name": "L'humidité intérieure joue-t-elle un rôle ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Oui, maintenir un faible taux d'humidité peut aider à réduire la prolifération des spores." } }, { "@type": "Question", "name": "Les traitements préventifs sont-ils disponibles ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Des traitements préventifs peuvent être envisagés pour les patients à risque élevé." } }, { "@type": "Question", "name": "Quels traitements sont disponibles pour cette condition ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Les traitements incluent des corticostéroïdes, des antifongiques et des bronchodilatateurs." } }, { "@type": "Question", "name": "Les corticostéroïdes sont-ils efficaces ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Oui, ils réduisent l'inflammation et améliorent les symptômes respiratoires." } }, { "@type": "Question", "name": "Quand utilise-t-on des antifongiques ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Les antifongiques sont utilisés en cas d'infection fongique confirmée ou sévère." } }, { "@type": "Question", "name": "Les bronchodilatateurs sont-ils nécessaires ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Oui, ils aident à soulager l'essoufflement et à améliorer la respiration." } }, { "@type": "Question", "name": "Y a-t-il des traitements alternatifs ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Des traitements alternatifs comme l'immunothérapie peuvent être envisagés dans certains cas." } }, { "@type": "Question", "name": "Quelles complications peuvent survenir ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent des infections pulmonaires, des bronchiectasies et une insuffisance respiratoire." } }, { "@type": "Question", "name": "Les bronchiectasies sont-elles une complication fréquente ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Oui, elles peuvent se développer en raison de l'inflammation chronique des voies respiratoires." } }, { "@type": "Question", "name": "L'insuffisance respiratoire est-elle possible ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Oui, une insuffisance respiratoire peut survenir dans les cas graves ou non traités." } }, { "@type": "Question", "name": "Les complications peuvent-elles être évitées ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Une gestion précoce et appropriée des symptômes peut aider à prévenir les complications." } }, { "@type": "Question", "name": "Y a-t-il un risque de mortalité ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Dans les cas graves, le risque de mortalité peut augmenter, surtout chez les patients immunodéprimés." } }, { "@type": "Question", "name": "Quels sont les principaux facteurs de risque ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent l'asthme, la fibrose kystique et l'immunodépression." } }, { "@type": "Question", "name": "La fibrose kystique augmente-t-elle le risque ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les patients atteints de fibrose kystique sont plus susceptibles de développer cette maladie." } }, { "@type": "Question", "name": "Les personnes âgées sont-elles plus à risque ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, l'âge avancé peut augmenter la susceptibilité aux infections fongiques." } }, { "@type": "Question", "name": "L'exposition professionnelle joue-t-elle un rôle ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les travailleurs exposés à des spores d'Aspergillus, comme les agriculteurs, sont à risque." } }, { "@type": "Question", "name": "Les antécédents d'allergies augmentent-ils le risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les personnes ayant des antécédents d'allergies respiratoires sont plus vulnérables." } } ] } ] }

Sources (3294 au total)

Long-term follow-up of allergic bronchopulmonary aspergillosis treated with glucocorticoids: A study of 182 subjects.

The long-term outcomes of allergic bronchopulmonary aspergillosis (ABPA) are poorly characterised.... We retrospectively included treatment-naïve subjects of acute stage ABPA-complicating asthma from three randomised trials. All the subjects received oral prednisolone for 4 months and were monitored e... We included 182 subjects. Eighty-one (44.5%) patients experienced 120 exacerbations during 512 patient-years of follow-up. The incidence rate of ABPA exacerbations was 234/1000 patient-years. Most (73... ABPA exacerbations were common within 3 years of stopping treatment. Age, female sex, peripheral blood eosinophilia and the extent of bronchiectasis predicted ABPA exacerbations. The optimal serum tot...

Prevalence of Aspergillus Sensitization and Allergic Bronchopulmonary Aspergillosis in Adults With Bronchial Asthma: A Systematic Review of Global Data.

The prevalence of allergic bronchopulmonary aspergillosis (ABPA) in asthmatic patients remains unclear and is likely different across geographic locales.... To systematically review the literature for estimating the prevalence of Aspergillus sensitization (AS) and ABPA in adults with bronchial asthma.... We searched the PubMed and Embase databases for studies reporting the prevalence of AS or ABPA in at least 50 asthmatic subjects. The primary outcome was to assess the prevalence of ABPA. The secondar... Of the 11,801 records retrieved, 86 studies with 25,770 asthmatic subjects met the inclusion criteria. Most of the studies were from tertiary care centers. The pooled prevalence of ABPA in asthma (47 ... We found a high prevalence of ABPA in adult asthmatic subjects, underscoring the need for screening for ABPA in all asthmatic subjects seeking tertiary care....

Frequencies of pathogenic CFTR variants in Greek cystic fibrosis patients with allergic bronchopulmonary aspergillosis and Aspergillus fumigatus chronic colonization: A retrospective cohort study.

The clinical spectrum of Aspergillus fumigatus diseases in cystic fibrosis (CF) patients, including allergic bronchopulmonary aspergillosis (ABPA) and Aspergillus fumigatus chronic colonization, has r... Greek CF patients diagnosed with ABPA and/or A. fumigatus chronic colonization were grouped according to their CFTR genotype. Patients with "minimal" CFTR function were defined as carrying a combinati... Fifty-four CF patients were included and all except one were defined as having "minimal" CFTR function. Among the 108 CFTR alleles, 69 (63.9%) of pathogenic variants belonged to class II, and 32 (29.6... No significant differences were detected in the type of CFTR pathogenic variants among patients with ABPA and those with A. fumigatus colonization. Similar studies should be performed in larger CF pop...

Comparative diagnostic accuracy of immunoprecipitation versus immunoassay methods for detecting Aspergillus fumigatus-specific IgG in allergic bronchopulmonary aspergillosis: A systematic review and meta-analysis.

The diagnostic accuracy of immunoassays versus immunoprecipitation methods for detecting A.fumigatus-specific IgG in patients with allergic bronchopulmonary aspergillosis (ABPA) complicating asthma re... We performed a systematic review to identify studies describing both the methods in the same ABPA subjects. We assessed study quality using the QUADAS-2 tool. We derived the relative sensitivity and s... Our search yielded 20 studies (796 ABPA and 929 controls). The studies had a high risk of bias. The summary estimates for sensitivity and specificity of immunoprecipitation methods were 68.6% (95% CI,... Compared to immunoprecipiation methods, automated immunoassays have higher sensitivity and similar specificity, manual immunoassays have higher sensitivity and lower specificity, while automated immun...