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Classification systems for hypersensitivity pneumonitis

Classification systems for hypersensitivity pneumonitis
Classical classification Boyd classification Cormier classification Selman classification Vasakova classification
Acute Acute progressive Active Active nonprogressive and intermittent Acute: Symptom duration <6 months*; mostly reversible
Subacute Acute intermittent nonprogressive Acute progressive and intermittent
Chronic Nonacute Residual Chronic Chronic-fibrotic: symptom duration >6 months*; may be partially reversible, but risk of progression
Nonprogressive
Progressive
Richerson HB, Bernstein IL, Fink JN, et al. Guidelines for the clinical evaluation of hypersensitivity pneumonitis. Report of the Subcommittee on Hypersensitivity Pneumonitis. J Allergy Clin Immunol 1989; 84:839. Boyd G, McSharry CP, Banham SW, Lynch PP. A current view of pigeon fancier's lung. A model for pulmonary extrinsic allergic alveolitis. Clin Allergy 1982; 12 Suppl:53. Cormier, Y, Lacasse, Y. Keys to the diagnosis of hypersensitivity pneumonitis: The role of serum precipitins, lung biopsy, and high-resolution computed tomography. Clin Pulm Med 1996; 3:72. Interstitial Lung Disease, Schwarz MI, King TE Jr, (Eds), 5th ed, Shelton, CT, People's Medical Publishing House, 2011. Vasakova M, Morell F, Walsh S, et al. Hypersensitivity Pneumonitis: Perspectives in Diagnosis and Management. Am J Respir Crit Care Med 2017; 196:680.
* Approximate duration.
Graphic 61909 Version 4.0

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