Question 11: How should Allergic Bronchopulmonary Aspergillosis ABPA be managed in Cystic Fibrosis?

Aspergillus fumigatus is a ubiquitous, filamentous and spore-bearing fungus which usually grows at 37 degrees Celsius. It can be an opportunistic pathogen and can induce an inflammatory response in the airways through the production of various toxic and allergenic exoproducts. As a consequence, the clinical presentation may take a number of forms: Allergic bronchopulmonary aspergillosis (ABPA), aspergillus bronchitis, invasive pulmonary aspergillosis and an aspergilloma. ABPA occurs almost exclusively in asthma or cystic fibrosis (CF) patients [1].
Source: Paediatric Respiratory Reviews - Category: Respiratory Medicine Authors: Tags: Cystic Fibrosis: Frequently Asked Questions Source Type: research

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This study was designed to evaluate whether helminthic infections suppress the natural development of systemic lupus erythematosus (SLE) in NZBWF1 mice. Infection of NZBWF1 SLE-prone mice with two nematodes failed to establish long-lasting settlement. However, the Hymenolepis microstoma (Hm) rodent tapeworm successfully established long-term parasitization of NZBWF1 mice and was used to evaluate the suppressive effects of helminth infection. Ten-month-old NZBWF1 mice developed symptoms including autoantibody generation, proteinuria, glomerular histopathology, and splenomegaly, but mice infected with Hm at 2 months of age...
Source: Parasitology International - Category: Parasitology Source Type: research
Conclusions. Although there was no increase in Api m10 sIgG4 levels after 1 year bVIT, we did not observe relevant differences in other outcomes between patients with predominant Api m1 or Api m10 sensitization. PMID: 31939631 [PubMed - as supplied by publisher]
Source: European Annals of Allergy and Clinical Immunology - Category: Allergy & Immunology Tags: Eur Ann Allergy Clin Immunol Source Type: research
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The Pharmacogenomics Journal, Published online: 17 January 2020; doi:10.1038/s41397-019-0140-yPharmacogenomic associations of adverse drug reactions in asthma: systematic review and research prioritisation
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