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TOPICS
Overview
Allergic bronchopulmonary aspergilllosis (ABPA)
Anaphylaxis - Updated
Asthma
Asthma Diagnosis
Environmental diagnosis
and management
Asthma Treatment:
Immunotherapy
Asthma Treatment:
Preventing Morbidity
- Updated
Asthma Treatment:
Preventing Mortality

- Updated
Asthma Treatment:
Adherence
Occupational Asthma
Conjunctivitis
Cough
Dermatitis
Atopic - Updated
Contact
Drug Allergy - Updated
Food Allergy - Updated
Hypersensitivity Pneumonitis
Insect Hypersensitivity
Occupational Diseases
Primary Immune Deficiency - Updated
Rhinitis/Rhinosinusitis
Rhinitis - Updated
Sinusitis
Urticaria/Angioedema - Updated
How the Allergist/Immunologist Can Help:
Consultation and Referral Guidelines Citing the Evidence

Disease Group: Hypersensitivity Pneumonitis
  1. Early referral of patients with suspected hypersensitivity pneumonia to avoid continued environmental exposure resulting in permanent lung injury.
    [Rationale]
  2. Diagnostic consultation in patients found to have non-specific interstitial pneumonia.
    [Rationale]
  3. Patients with known Hypersensitivity pneumonitis for management.
    [Rationale]





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Early accurate diagnosis and removal from further exposure to specific sensitizers carries the best medical prognosis for those with HP.1-4 Allergists are trained and experienced in environmental exposure history, physical exam, as well as clinical and laboratory diagnosis of Hypersensitivity pneumonitis.5
Diagnostic

Indirect outcome (avoidance)
Histology diagnosis of HP varies from the acute stage, subacute stage, and chronic form. Findings of NSIP should initiate the diagnostic consideration of HP since avoidance of the offending antigen and pharmacologic therapy may result in resolution of the disease or stop the progression of disease.6
Diagnostic

Indirect outcome
(avoidance and corticosteroids)
Allergist/immunologists are specifically trained to evaluate environmental exposures, evaluate immunologic results, treat and follow HP, including oral corticosteroid treatment. 5, 7-12
Indirect outcome (corticosteroids)