Open AccessExposure Assessment Tools for Hypersensitivity Pneumonitis. An Official American Thoracic Society Workshop Report
Author(s) -
Kerri A. Johannson,
Hayley Barnes,
AnnePauline Bellanger,
JeanCharles Dalphin,
Evans R. Fernández Pérez,
Kevin R. Flaherty,
YuhChin T. Huang,
Kirk D. Jones,
Letícia Kawano-Dourado,
Kevin Kennedy,
Melissa Millerick-May,
Yasunari Miyazaki,
Julie Morisset,
Ferrán Morell,
Ganesh Raghu,
Coreen A. Robbins,
Coralynn Sack,
Margaret L. Salisbury,
Moisés Selman,
Martina Vašáková,
Simon Walsh,
Cecile S. Rose
Publication year - 2020
Publication title -
annals of the american thoracic society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.035
H-Index - 114
eISSN - 2329-6933
pISSN - 2325-6621
DOI - 10.1513/annalsats.202008-942st
Subject(s) - medicine , hypersensitivity pneumonitis , executive summary , intensive care medicine , dermatology , medical physics , lung , microbiology and biotechnology , biology
This report is based on proceedings from the Exposure Assessment Tools for Hypersensitivity Pneumonitis (HP) Workshop, sponsored by the American Thoracic Society, that took place on May 18, 2019, in Dallas, Texas. The workshop was initiated by members from the Environmental, Occupational, and Population Health and Clinical Problems Assemblies of the American Thoracic Society. Participants included international experts from pulmonary medicine, occupational medicine, radiology, pathology, and exposure science. The meeting objectives were to 1 ) define currently available tools for exposure assessment in evaluation of HP, 2 ) describe the evidence base supporting the role for these exposure assessment tools in HP evaluation, 3 ) identify limitations and barriers to each tool's implementation in clinical practice, 4 ) determine which exposure assessment tools demonstrate the best performance characteristics and applicability, and 5 ) identify research needs for improving exposure assessment tools for HP. Specific discussion topics included history-taking and exposure questionnaires, antigen avoidance, environmental assessment, specific inhalational challenge, serum-specific IgG testing, skin testing, lymphocyte proliferation testing, and a multidisciplinary team approach. Priorities for research in this area were identified.