Sensitization to Bjerkandera adusta Enhances Severity of Cough Symptom in Patients with Fungus-Associated Chronic Cough(FACC)

[Objective]The aim of the present study was to clarify the influence of sensitization to Bjerkandera adusta(B. adusta)on the clinical manifestation in patients with fungus-associated chronic cough(FACC).[Methods]Seventeen patients with FACC who underwent bronchoprovocation tests using an antigenic s...

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Veröffentlicht in:Medical Mycology Journal 2011, Vol.52(3), pp.205-212
Hauptverfasser: Ogawa, Haruhiko, Fujimura, Masaki, Takeuchi, Yasuo, Makimura, Kouichi, Satoh, Kazuo
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container_end_page 212
container_issue 3
container_start_page 205
container_title Medical Mycology Journal
container_volume 52
creator Ogawa, Haruhiko
Fujimura, Masaki
Takeuchi, Yasuo
Makimura, Kouichi
Satoh, Kazuo
description [Objective]The aim of the present study was to clarify the influence of sensitization to Bjerkandera adusta(B. adusta)on the clinical manifestation in patients with fungus-associated chronic cough(FACC).[Methods]Seventeen patients with FACC who underwent bronchoprovocation tests using an antigenic solution of B. adusta were selected from among 21 FACC patients. We compared the allergological findings and clinical characteristics of the FACC patients who showed a positive reaction to the bronchoprovocation test(Allergic fungal cough sensitized to B. adusta; AFC-Bj)with the remaining FACC patients(non AFC-Bj)retrospectively.[Results]The eleven patients with AFC-Bj had a median age of 52(range, 22-70)years, and 45.5% were female. The respective values for six patients with non AFC-Bj were 47.5(range, 36-60)years of age, and 33.3% were female. The positive ratios for an immediate cutaneous reaction(45.5%; p
doi_str_mv 10.3314/mmj.52.205
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We compared the allergological findings and clinical characteristics of the FACC patients who showed a positive reaction to the bronchoprovocation test(Allergic fungal cough sensitized to B. adusta; AFC-Bj)with the remaining FACC patients(non AFC-Bj)retrospectively.[Results]The eleven patients with AFC-Bj had a median age of 52(range, 22-70)years, and 45.5% were female. The respective values for six patients with non AFC-Bj were 47.5(range, 36-60)years of age, and 33.3% were female. The positive ratios for an immediate cutaneous reaction(45.5%; p&lt;0.05)and the lymphocyte stimulation test(63.6%; p&lt;0.05)to B. adusta were found to be significantly higher in the AFC-Bj group than in the non AFC-Bj group. The total time required for complete remission of cough symptoms was longer(median 20, range 12-43 weeks; p=0.0009), and the recurrence ratio of coughing was more frequent in the AFC-Bj group in comparison to those in non AFC-Bj group(2, range 1-3 times and 0.5, range 0-1 times, respectively).[Conclusions]This study demonstrated that B. adusta, a basidiomycetous is an environmental fungus attracting attention because of its possible role in enhancing the cough severity of FACC patients via the sensitization to this fungus.</description><identifier>ISSN: 2185-6486</identifier><identifier>EISSN: 2186-165X</identifier><identifier>DOI: 10.3314/mmj.52.205</identifier><language>eng</language><publisher>The Japanese Society for Medical Mycology</publisher><subject>allergic fungal cough ; basidiomycetous fungi ; Bjerkandera adusta ; chronic idiopathic cough ; fungus-associated chronic cough</subject><ispartof>Medical Mycology Journal, 2011, Vol.52(3), pp.205-212</ispartof><rights>2011 The Japanese Society for Medical Mycology</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3725-cd25a2365acd7590917571f218609a698ccd886632e748a7d18bb77652221f623</citedby><cites>FETCH-LOGICAL-c3725-cd25a2365acd7590917571f218609a698ccd886632e748a7d18bb77652221f623</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,1877,4010,27904,27905,27906</link.rule.ids></links><search><creatorcontrib>Ogawa, Haruhiko</creatorcontrib><creatorcontrib>Fujimura, Masaki</creatorcontrib><creatorcontrib>Takeuchi, Yasuo</creatorcontrib><creatorcontrib>Makimura, Kouichi</creatorcontrib><creatorcontrib>Satoh, Kazuo</creatorcontrib><title>Sensitization to Bjerkandera adusta Enhances Severity of Cough Symptom in Patients with Fungus-Associated Chronic Cough(FACC)</title><title>Medical Mycology Journal</title><description>[Objective]The aim of the present study was to clarify the influence of sensitization to Bjerkandera adusta(B. adusta)on the clinical manifestation in patients with fungus-associated chronic cough(FACC).[Methods]Seventeen patients with FACC who underwent bronchoprovocation tests using an antigenic solution of B. adusta were selected from among 21 FACC patients. We compared the allergological findings and clinical characteristics of the FACC patients who showed a positive reaction to the bronchoprovocation test(Allergic fungal cough sensitized to B. adusta; AFC-Bj)with the remaining FACC patients(non AFC-Bj)retrospectively.[Results]The eleven patients with AFC-Bj had a median age of 52(range, 22-70)years, and 45.5% were female. The respective values for six patients with non AFC-Bj were 47.5(range, 36-60)years of age, and 33.3% were female. The positive ratios for an immediate cutaneous reaction(45.5%; p&lt;0.05)and the lymphocyte stimulation test(63.6%; p&lt;0.05)to B. adusta were found to be significantly higher in the AFC-Bj group than in the non AFC-Bj group. 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We compared the allergological findings and clinical characteristics of the FACC patients who showed a positive reaction to the bronchoprovocation test(Allergic fungal cough sensitized to B. adusta; AFC-Bj)with the remaining FACC patients(non AFC-Bj)retrospectively.[Results]The eleven patients with AFC-Bj had a median age of 52(range, 22-70)years, and 45.5% were female. The respective values for six patients with non AFC-Bj were 47.5(range, 36-60)years of age, and 33.3% were female. The positive ratios for an immediate cutaneous reaction(45.5%; p&lt;0.05)and the lymphocyte stimulation test(63.6%; p&lt;0.05)to B. adusta were found to be significantly higher in the AFC-Bj group than in the non AFC-Bj group. The total time required for complete remission of cough symptoms was longer(median 20, range 12-43 weeks; p=0.0009), and the recurrence ratio of coughing was more frequent in the AFC-Bj group in comparison to those in non AFC-Bj group(2, range 1-3 times and 0.5, range 0-1 times, respectively).[Conclusions]This study demonstrated that B. adusta, a basidiomycetous is an environmental fungus attracting attention because of its possible role in enhancing the cough severity of FACC patients via the sensitization to this fungus.</abstract><pub>The Japanese Society for Medical Mycology</pub><doi>10.3314/mmj.52.205</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects allergic fungal cough
basidiomycetous fungi
Bjerkandera adusta
chronic idiopathic cough
fungus-associated chronic cough
title Sensitization to Bjerkandera adusta Enhances Severity of Cough Symptom in Patients with Fungus-Associated Chronic Cough(FACC)
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