%0 Journal Article
%T Allergic bronchopulmonary aspergillosis treated successfully for one year with omalizumab
%A Collins J
%A de Vos G
%A Hudes G
%A Rosenstreich D
%J Journal of Asthma and Allergy
%D 2012
%I 
%R http://dx.doi.org/10.2147/JAA.S34579
%X llergic bronchopulmonary aspergillosis treated successfully for one year with omalizumab Case Series (1686) Total Article Views Authors: Collins J, de Vos G, Hudes G, Rosenstreich D Published Date November 2012 Volume 2012:5 Pages 65 - 70 DOI: http://dx.doi.org/10.2147/JAA.S34579 Received: 02 June 2012 Accepted: 01 August 2012 Published: 08 November 2012 Jennifer Collins,1 Gabriele deVos,2 Golda Hudes,2 David Rosenstreich2 1New York Eye and Ear Infirmary, New York, NY, 2Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY, USA Background: Current therapy for allergic bronchopulmonary aspergillosis (ABPA) uses oral corticosteroids, exposing patients to the adverse effects of these agents. There are reports of the steroid-sparing effect of anti-IgE therapy with omalizumab for ABPA in patients with cystic fibrosis (CF), but there is little information on its efficacy against ABPA in patients with bronchial asthma without CF. Objective: To examine the effects of omalizumab, measured by asthma control, blood eosinophilia, total serum immunoglobulin E (IgE), oral corticosteroid requirements, and forced expiratory volume spirometry in patients with ABPA and bronchial asthma. Methods: A retrospective review of charts from 2004¨C2006 of patients treated with omalizumab at an academic allergy and immunology practice in the Bronx, New York were examined for systemic steroid and rescue inhaler usage, serum immunoglobulin E levels, blood eosinophil counts, and asthma symptoms, as measured by the Asthma Control Test (ACT). Results: A total of 21 charts were screened for the diagnosis of ABPA and bronchial asthma. Four patients with ABPA were identified; two of these patients were male. The median monthly systemic corticosteroid use at 6 months and 12 months decreased from baseline usage. Total serum IgE decreased in all patients at 12 months of therapy. Pre-bronchodilator forced expiratory vital capacity at one second (FEV1) was variable at 1 year of treatment. There was an improvement in Asthma Control Test (ACT) symptom scores for both daytime and nighttime symptoms. Conclusions: Treatment with omalizumab creates a steroid-sparing effect, reduces systemic inflammatory markers, and results in improvement in ACT scores in patients with ABPA.
%K allergic bronchopulmonary aspergillosis
%K omalizumab
%K asthma
%U https://www.dovepress.com/allergic-bronchopulmonary-aspergillosis-treated-successfully-for-one-y-peer-reviewed-article-JAA