{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T13:58:31Z","timestamp":1780495111562,"version":"3.54.1"},"reference-count":99,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Chron Respir Dis"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Diagnosis of hypersensitivity pneumonitis (HP) or extrinsic allergic alveolitis requires a combination of tests with antibody testing playing a supportive role to identify exposures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      We conducted a scoping review on\n                      <jats:italic toggle=\"yes\">Aspergillus<\/jats:italic>\n                      antibody testing in\n                      <jats:italic toggle=\"yes\">Aspergillus<\/jats:italic>\n                      -related HP to identify the utility and diagnostic cutoffs proposed in the literature. We compared these cutoffs with studies of chronic pulmonary aspergillosis (CPA) and manufacturers\u2019 cutoffs.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Eligibility criteria<\/jats:title>\n                    <jats:p>\n                      Only studies addressing the diagnostic value of\n                      <jats:italic toggle=\"yes\">Aspergillus<\/jats:italic>\n                      IgG or precipitins for HP were included. Separately papers defining cutoffs for CPA were tabulated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Sources of evidence<\/jats:title>\n                    <jats:p>Published papers were identified in literature searches in Embase, Web of Science, and Medline.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We identified 414 papers, of which 12 were included, all published between 1965 and 2005. Occupational HP linked to\n                      <jats:italic toggle=\"yes\">Aspergillus<\/jats:italic>\n                      spp. exposure included Farmer\u2019s Lung, Malt-Worker\u2019s Lung, Esparto Worker\u2019s Lung, and Woodworker\u2019s lung (Sawmill-workers). No studies directly addressed serological testing in Tobacco Worker\u2019s lung, Compost Lung, or poultry workers. Among\n                      <jats:italic toggle=\"yes\">Aspergillus<\/jats:italic>\n                      species exposure,\n                      <jats:italic toggle=\"yes\">A. fumigatus<\/jats:italic>\n                      was most commonly described; others included\n                      <jats:italic toggle=\"yes\">A. umbrosus<\/jats:italic>\n                      (now\n                      <jats:italic toggle=\"yes\">A. glaucus<\/jats:italic>\n                      ),\n                      <jats:italic toggle=\"yes\">A. clavatus<\/jats:italic>\n                      , and\n                      <jats:italic toggle=\"yes\">A. niger<\/jats:italic>\n                      . Antibody tests included ELISA, BALISA, precipitin tests and ImmunoCAP, with a higher sensitivity of ELISA and ImmunoCAP tests compared to precipitin tests. Patients with HP linked to\n                      <jats:italic toggle=\"yes\">Aspergillus<\/jats:italic>\n                      exposures, were positive in 156\/290 (53.8%) compared to 96\/615 (15.6%) in those with similar occupational exposures without HP. In malt workers with HP 35\/53 (66%) had detectable\n                      <jats:italic toggle=\"yes\">A.<\/jats:italic>\n                      <jats:italic toggle=\"yes\">clavatus<\/jats:italic>\n                      IgG antibody compared to 0\/53\n                      <jats:italic toggle=\"yes\">A. fumigatus<\/jats:italic>\n                      IgG, and 13\/74 (18%) exposed but unaffected workers, but are not commercially available.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Improved means of establishing or ruling out\n                      <jats:italic toggle=\"yes\">Aspergillus<\/jats:italic>\n                      exposure are required, given the negative consequences for patients of continued\n                      <jats:italic toggle=\"yes\">Aspergillus<\/jats:italic>\n                      inhalation. Modern studies with commercially available\n                      <jats:italic toggle=\"yes\">Aspergillus<\/jats:italic>\n                      IgG antibody assays are required to define appropriate cutoffs for HP, given numerous studies published for chronic pulmonary aspergillosis.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14799731251326592","type":"journal-article","created":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T10:18:27Z","timestamp":1744798707000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["<i>Aspergillus<\/i>\n                    IgG antibody testing in the diagnosis of hypersensitivity pneumonitis: A scoping review"],"prefix":"10.1177","volume":"22","author":[{"given":"Lana","family":"Hatim","sequence":"first","affiliation":[{"name":"The University of Manchester"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5626-2251","authenticated-orcid":false,"given":"David W","family":"Denning","sequence":"additional","affiliation":[{"name":"The University of Manchester"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,4,16]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.2147\/JAA.S81540"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/B978-032304048-8.50049-9"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.00252-2021"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.53.3.358"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.4103\/lungindia.lungindia_263_19"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1093\/mmy\/myy090"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41379-021-00866-y"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.202005-2032ST"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/all.15017"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1155\/2024\/4919951"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics12112874"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.00906-2019"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1183\/23120541.00474-2021"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm8010014"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12890-024-03098-3"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2021.03.066"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00420-006-0135-2"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2222.1980.tb02096.x"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.6008.490"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0091-6749(96)80016-9"},{"key":"e_1_3_4_22_2","first-page":"77","article-title":"Extrinsic allergic alveolitis in the tobacco industry","volume":"41","author":"Huuskonen MS","year":"1984","unstructured":"Huuskonen MS, Husman K, J\u00e4rvisalo J, et al. 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