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Published in: Current Pulmonology Reports 4/2022

08-10-2022 | Hypersensitivity Pneumonitis | Interstitial Lung Disease (S Dhooria, Section Editor)

New Paradigms in Hypersensitivity Pneumonitis

Authors: Bineet Ahluwalia, Sheetu Singh

Published in: Current Pulmonology Reports | Issue 4/2022

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Abstract

Purpose of Review

This review aims to briefly discuss the new paradigms explored in the recent past especially for the diagnosis and treatment of hypersensitivity pneumonitis (HP).

Recent Findings

HP has now been classified into non-fibrotic and fibrotic phenotypes. The diagnosis of non-fibrotic and fibrotic HP has been categorized into “typical,” “compatible,” and “indeterminate” in terms of radiology and histopathology, grading the degree of diagnostic confidence. The newly explored role of antifibrotic drugs provides a treatment prospect for patients with fibrotic HP whose options were largely limited to corticosteroids and immunosuppressants.

Summary

The official guidelines provide us with a systematic approach towards making a confident diagnosis of HP and its subtypes. Recent pharmacological studies have enlightened our knowledge with a variety of treatment options, especially for fibrotic HP. However, a multitude of questions still remain unanswered.
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Metadata
Title
New Paradigms in Hypersensitivity Pneumonitis
Authors
Bineet Ahluwalia
Sheetu Singh
Publication date
08-10-2022
Publisher
Springer US
Published in
Current Pulmonology Reports / Issue 4/2022
Electronic ISSN: 2199-2428
DOI
https://doi.org/10.1007/s13665-022-00295-5

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