Epidemiology of the relationship between allergic bronchopulmonary aspergillosis and asthma

Author:

Maule Matteo12,Vitte Joana34,Ambrosani Francesca2,Caminati Marco12

Affiliation:

1. Asthma Center and Allergy Unit, Center for Hyper-eosinophilic dysimmune conditions, Integrated University Hospital of Verona

2. Department of Medicine, University of Verona, Verona, Italy

3. University Hospital of Reims, Laboratory of Immunology

4. INSERM UMR-S 1250 P3CELL, University of Reims, Reims, France

Abstract

Purpose of review Allergic bronchopulmonary aspergillosis (ABPA) can complicate the natural history of asthmatic patients, especially the more severe ones, worsening disease control and increasing the need for therapies, steroids in particular, and medical care. The aim of the present review is to summarize the latest epidemiological data related to the relationship between asthma and ABPA and to offer a summary of the most recent strategies that could potentially facilitate in the identification of ABPA in asthmatic patients. Recent findings In the last years, great efforts have been made by researchers worldwide to provide reliable epidemiological data on fungal sensitization and ABPA, especially in severe asthma patients both in adult and pediatric population. Data differ depending on the geographical area and population studied, but pooled data show a concerning 11% of severe asthma patients having ABPA and one out of four asthmatic patients being sensitized to fungi, Aspergillus fumigatus in particular. Summary Reliable epidemiological data and advances in the diagnostic procedures can facilitate the detection of ABPA among asthmatic patients, improving the management of a still under-recognized and challenging condition.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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