Clinical significance of decline in serum IgE levels in allergic bronchopulmonary aspergillosis.

Abstract:

BACKGROUND AND AIMS:The total serum IgE level is a marker of immunological activity in allergic bronchopulmonary aspergillosis (ABPA), and a 35% decline beyond six weeks is traditionally taken as criteria for remission. The aim of this study was to evaluate the magnitude and clinical significance of decline in serum IgE levels at six weeks in patients with ABPA. METHODS:All consecutive patients with ABPA presenting to the Chest Clinic were followed up with clinical evaluation, total IgE levels and chest x-ray every six weeks for three months. We analyzed the percentage decline in IgE levels and correlated it with clinical outcomes of relapse and complete remission. RESULTS:Of the 242 asthmatics, 54 were diagnosed with ABPA (29 males, 25 females; mean age-34 years). There was clinical and radiological improvement at six weeks in all patients receiving glucocorticoid therapy. The IgE levels fell by a mean of 38.8%, and the decline was significantly higher in patients with baseline IgE levels >2500IU/mL than with levels

journal_name

Respir Med

journal_title

Respiratory medicine

authors

Agarwal R,Gupta D,Aggarwal AN,Saxena AK,Saikia B,Chakrabarti A,Jindal SK

doi

10.1016/j.rmed.2009.09.005

subject

Has Abstract

pub_date

2010-02-01 00:00:00

pages

204-10

issue

2

eissn

0954-6111

issn

1532-3064

pii

S0954-6111(09)00303-5

journal_volume

104

pub_type

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